ANTINIQUE WILSON

ANTIOCH, CA
NPI1215765995
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95025241)
Enumeration Date2024-07-24
Last Update Date2024-07-24
Business Address
ANTINIQUE WILSON
1104 BUCHANAN RD STE C10
ANTIOCH, CA 94509-4226
Phone number: 925-676-0505
Mailing Address
ANTINIQUE WILSON
2420 SAND CREEK RD # 130
BRENTWOOD, CA 94513-2707
Phone number: