Individual
JULIAN BRYANT WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4610 X STREET, SACRAMENTO, CA 95817-2200
(714) 422-6817
Mailing address
4610 X STREET, SACRAMENTO, CA 95817-2200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2024
Last updated
09/09/2024
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