Individual provider · Type 1 NPI
Lindella Wilson
Student in an Organized Health Care Education/Training Program · Lodi, CA
NPI number
1417403668
Active
Practice location
12755 N Highway 88
Lodi, CA 95253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | ASW71454 (CA) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1417403668
Lindella Wilson's National Provider Identifier is 1417403668, issued on Aug 28, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lodi, CA. The record was last updated on Nov 7, 2016.