Whalio Doctors

NPI 1538671359

Tracey Wilson, RCFE

Practitioner Nursing Home Administrator San Diego, CA

Practice location

Address
639 S Gregory St, San Diego, CA 92113-2617
Phone
(619) 693-9080
Fax
(619) 393-2177
Mailing address
864 Grand Ave # 802, San Diego, CA 92109-3906

Registered specialties

Nursing Home Administrator Primary
Nursing Service Related Providers Taxonomy 376G00000X Licence 6029334740 (CA)

Registry record

NPI
1538671359
Entity type
Individual
Sex (as registered)
Female
NPI issued
2 Nov 2017
Record last updated
2 Nov 2017

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.