JODI MICHELLE WILSON

PASADENA, CA
NPI1467056184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95016068)
Enumeration Date2020-11-23
Last Update Date2022-01-25
Business Address
JODI MICHELLE WILSON
960 E GREEN ST STE 292
PASADENA, CA 91106-2401
Phone number: 626-449-4494
Mailing Address
JODI MICHELLE WILSON
960 E GREEN ST
PASADENA, CA 91106-2422
Phone number: 626-840-4757