Individual
GERALDINE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6055 E WASHINGTON BLVD, SUITE 900, COMMERCE, CA 90040-2449
(323) 346-0960
(323) 346-0966
Mailing address
921 ALAMITOS AVE, APT. 8, LONG BEACH, CA 90813-4778
(562) 616-3965
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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