VIRGINIA C WILDE

FONTANA, CA
NPI1700953536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP967)
Enumeration Date2006-11-29
Last Update Date2008-09-15
Business Address
VIRGINIA C WILDE NP
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Mailing Address
VIRGINIA C WILDE NP
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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