Individual
RESHARD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4760 S PECOS RD # 200-9, LAS VEGAS, NV 89121-5828
(702) 768-3076
Mailing address
4760 S PECOS RD # 200-9, LAS VEGAS, NV 89121-5828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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