Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnette B. Wilson III, RT

Individual provider Radiologic Technologist · NPI 1285898809

Johnette B. Wilson III, RT is a Radiologic Technologist in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

2923 75th Ave
Oakland, CA 94605-2903
Phone: (415) 571-0542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X · Licence 44981 (CA)
Radiologic Technologist Taxonomy 247100000X · Licence 176908 (CA)

Record details

NPI number1285898809
Entity typeIndividual (Type 1)
GenderFemale
Credentials RT
Sole proprietorYes
NPI enumeratedJuly 13, 2008
Last updated in NPPESJuly 13, 2008

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