Individual
DAVID LEE WILSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-5590
Mailing address
884 SPOTTED PONY CT, ROCKLIN, CA 95765-5468
(707) 590-6358
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014950
CA
Other
Enumeration date
11/06/2020
Last updated
11/07/2020
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