Individual
NATHAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3840 ROSIN CT STE 100, SACRAMENTO, CA 95834-1645
(916) 921-0828
Mailing address
3840 ROSIN CT STE 100, SACRAMENTO, CA 95834-1645
(916) 921-0828
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
10/19/2018
Last updated
06/25/2025
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