Individual
CLARYSSA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 SUNSET LN STE 210, ANTIOCH, CA 94509-6135
(925) 753-2156
Mailing address
3727 SUNSET LN STE 210, ANTIOCH, CA 94509-6135
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
05/05/2025
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