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Kesha Shamell Wilson
Psychiatric/Mental Health Nurse Practitioner in Norwalk, California
NPI 1093432130

Kesha Shamell Wilson is a Psychiatric/Mental Health Nurse Practitioner based in Norwalk, CA and is specialized in Psychiatric/Mental Health. Kesha Shamell Wilson practices in Norwalk, CA. The NPI Number for Kesha Shamell Wilson is 1093432130 and holds a License No. 95022491 (California).

The current practice location address for Kesha Shamell Wilson is 13604 Bloomfield Ave, Norwalk, CA and can be reached out via phone at 310-703-8853.

Location: 13604 Bloomfield Ave, Norwalk, CA, 90650-3209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093432130
Provider Name
Kesha Shamell Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
13604 Bloomfield Ave, Norwalk, CA, 90650-3209
Phone Number
310-703-8853
Fax Number
Provider Enumeration Date
10/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13604 Bloomfield Ave
City
Norwalk
State
California
Zip
90650-3209
Phone Number
310-703-8853
Fax Number
person
Provider Business Mailing Address Details
Address
13604 Bloomfield Ave
City
Norwalk
State
California
Zip
90650-3209
Phone Number
310-703-8853
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95022491 (California)
Definition
Definition to come...
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