LYDIA KAY WILSON

RESEDA, CA
NPI1093729824
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  513626)
Enumeration Date2006-07-28
Last Update Date2023-03-07
Business Address
Ms. LYDIA KAY WILSON GNP
18855 VICTORY BLVD ATTN: BILLING DEPARTMENT
RESEDA, CA 91335-6445
Phone number: 818-774-3354
Mailing Address
Ms. LYDIA KAY WILSON GNP
17075 DEVONSHIRE ST STE 204
NORTHRIDGE, CA 91325-5408
Phone number: 818-368-8929
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