Individual
ERIC L WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 MARKET ST UNIT 313, OAKLAND, CA 94607-2762
(510) 993-8215
Mailing address
9925 INTERNATIONAL BLVD, OAKLAND, CA 94603-2558
(510) 777-1177
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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