Individual
DANNY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
321 CASSIDY ST, OCEANSIDE, CA 92054-5314
(760) 721-2171
Mailing address
321 CASSIDY ST, OCEANSIDE, CA 92054-5314
(760) 721-2171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
727264
CA
Other
Enumeration date
02/03/2017
Last updated
02/08/2017
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