TIFFANY DAWN WILSON, MD, INC
Marriage and Family Therapists at Barranca Pkwy, Irvine, CA

License number
California A70066
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: TIFFANY DAWN WILSON MD
Title: DOCTOR
Phone: (949) 559-4480
Address
Address
4950 Barranca Pkwy SUITE 201, Irvine, CA 92604
National Provider ID: 1861595282
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TIFFANY DAWN WILSON, M.D., INC

Irvine, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Aug 21, 2003
Addresses:
33 Crk Rd A190, Irvine, CA 92604 (Physical)
33 Crk Rd, Irvine, CA 92604
State ID:
C2522787
Business type:
Articles of Incorporation
President:
Tiffany Wilson President, inactive

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