Deja Wilson

NPI 1255848313 · on the registry since 2018 · sole proprietor

Practice

Address: 9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758
Phone: (916) 609-5114
Organisation at this address: Tai Healthcare Llc
Another Choice Another Chance
River Oak Center For Children
River Oak Center For Children
River Oak Center For Children
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 262

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California