ANTINIQUE WILSON

NPI: 1215765995 · Individual · Active

Primary Specialty

Nurse Practitioner

Practice Location

1104 BUCHANAN RD STE C10
ANTIOCH, CA 94509-4226 Map ↗
Phone: 925-676-0505

Mailing Address

2420 SAND CREEK RD # 130
BRENTWOOD, CA 94513-2707 Map ↗

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Nurse Practitioner Primary (license: 95025241, CA)

NPI Registration

Enumerated: 2024-07-24

Last CMS Update: 2024-07-24