| NPI | 1164517132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA ALTHEA WILBURN Owner Of Medical Practice 760-946-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A84253) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-11-29 |