ALEXA DIAMOND WILMARTH

PALO ALTO, CA
NPI1518412345
Former NameALEXA DIAMOND BOUBALOS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95009707)
Additional Taxonomies163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CA  95104937)
Enumeration Date2016-08-22
Last Update Date2020-09-16
Business Address
Mrs. ALEXA DIAMOND WILMARTH NP
650 CLARK WAY
PALO ALTO, CA 94304
Phone number: 650-326-5530
Mailing Address
Mrs. ALEXA DIAMOND WILMARTH NP
650 CLARK WAY
PALO ALTO, CA 94304-2300
Phone number: 650-218-6665