NPI 1003109844

Jerrica Marie Wild

Practitioner Independent Duty Medical Technicians Beale Afb, CA

Practice location

Address: 15301 Warren Shingle Road, Beale Afb, CA 95903
Phone: (530) 634-4738
Mailing address: 15301 Warren Shingle Rd, Beale Afb, CA 95903-1907

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in California →

Registry record

NPI: 1003109844
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 May 2011
Record last updated: 22 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.