Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHNETTE B. WILSON III, R.T.
Active Sole ProprietorJOHNETTE B. WILSON III, R.T. is a Radiologic Technologist healthcare provider located in OAKLAND, California. NPI 1285898809 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · OAKLAND, CA
Registration Details
- NPI Number
- 1285898809
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2008 (18.109893423425 yrs)
- Last Updated
- Jul 13, 2008
- Licenses
-
44981 (CA)176908 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2923 75TH AVEOAKLAND, CA, 946052903Browse CA providers · Browse ZIP 94605
- Phone
- 4155710542
- Primary Specialty
-
Radiologic Technologist
247100000X
- Additional Specialty
- Radiologic Technologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.