Search › California › 101YM0800X

Marianne Wilson

NPI 1679731830 · on the registry since 2008

Practice

Address
1107 Ream Ave
Mount Shasta, CA 96067
Phone
(530) 926-1436
Organisation at this address
County Of Siskiyou
Inferred from a shared address, not stated in the registry.
Clinicians at this address
52

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-05-23
Status
Not present in the most recent federal file

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