Individual
MR. HOWARD RENFORD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3318 N DECATUR BLVD UNIT 1301, LAS VEGAS, NV 89130-3240
(702) 756-5205
(702) 463-5982
Mailing address
3318 N DECATUR BLVD UNIT 1301, LAS VEGAS, NV 89130-3240
(702) 756-5205
(702) 463-5982
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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