Individual
DONALD KERRY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
639 OAK AVENUE, DAVIS, CA 95616
(530) 753-2182
(530) 753-0346
Mailing address
639 OAK AVE, DAVIS, CA 95616-3626
(530) 753-2182
(530) 753-0346
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
DC
CA
Other
Enumeration date
12/19/2006
Last updated
11/14/2007
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