| Doctor Name: | MS. DORIS LORRAINE WILSON |
| NPI Number: | 1295065696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN459199 |
| Business Practice Address: | 2089 6th St Norco, CA - 928601161 |
| Business Phone Number: | 9517343537 |
| Business Fax Number: | |
| Mailing Address: | 2089 6th St, NORCO |
| State: | CA |
| Postal Code: | 928601161 |
| Phone Number: | 9517343537 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2010 |
| NPI Last Update Date: | 01/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN459199 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |