Individual
MR. PERCY LEE WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2289 WILSON AVE, PERRIS, CA 92571-3351
(951) 490-8978
Mailing address
2289 WILSON AVE, PERRIS, CA 92571-3351
(951) 490-8978
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
N5842103
CA
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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