Dr FORRELINE G WILSON is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.
MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC
2505 SANTA MONICA BLVD
SANTA MONICA
CA
904042011
Tel: 8663892572
| Npi | 1053841759 |
| Pac Id | 3476823535 |
| Professional Enrollment Id | I20170721002559 |
| Last Name | WILSON |
| First Name | FORRELINE |
| Middle Name | G |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | MINUTECLINIC DIAGNOSTIC MEDICAL GROUP OF CALIFORNIA INC |
| Group Practice Pac Id | 8224191374 |
| Number Of Group Practice Members | 76 |
| Line 1 Street Address | 2505 SANTA MONICA BLVD |
| Line 2 Street Address | |
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| City | SANTA MONICA |
| State | CA |
| Zip Code | 904042011 |
| Phone Number | 8663892572 |
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| Professional Accepts Medicare Assignment | Y |
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