person
Juliana Suzanne Wilson, PA-C
Medical Physician Assistant in La Palma, California
NPI 1851587919

Juliana Suzanne Wilson is a Medical Physician Assistant based in La Palma, CA and is specialized in Medical. Juliana Suzanne Wilson practices in La Palma, CA and has the professional credentials of PA-C. The NPI Number for Juliana Suzanne Wilson is 1851587919 and holds a License No. PA16242 (California).

The current practice location address for Juliana Suzanne Wilson is 7872 Walker St, La Palma, CA and can be reached out via phone at 714-527-8777 and via fax at 714-527-8990.

Location: 7872 Walker St, La Palma, CA, 90623-1796
person
Provider Profile Details
NPI Number
1851587919
Provider Name
Juliana Suzanne Wilson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
7872 Walker St, La Palma, CA, 90623-1796
Phone Number
714-527-8777
Fax Number
714-527-8990
Provider Enumeration Date
09/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W12122A 01 CA MEDICARE GROUP NUMBER
W12122 01 CA MEDICARE GROUP NUMBER
GR0061200 05 CA
GR0061190 05 CA
institution
Provider Business Practice Location Address Details
Address
7872 Walker St
City
State
Zip
90623-1796
Phone Number
714-527-8777
Fax Number
714-527-8990
person
Provider Business Mailing Address Details
Address
7872 Walker St
City
State
Zip
90623-1796
Phone Number
714-527-8777
Fax Number
714-527-8990
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA16242 (California)
Definition
Definition to come...
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