Individual
DONALD WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3712 CENTINELLA DR, NORTH HIGHLANDS, CA 95660-3738
(916) 595-4377
Mailing address
3712 CENTINELLA DR, NORTH HIGHLANDS, CA 95660-3738
(916) 595-4377
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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