La Quanda Wilson
La Quanda Wilson is a Student in an Organized Health Care Education/Training Program in Long Beach, California. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
4300 Long Beach Blvd Ste 700Long Beach, CA 90807-2000
Phone: (310) 783-4677
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1073914198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2014 |
| Last updated in NPPES | September 8, 2014 |
| Mailing address | 9564 Maie Ave, Los Angeles, CA 90002-2349 |
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