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Individual

DR. RALPH WILSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
N.D.

Contact information

Practice address
5101 WISCONSIN AVE NW STE 100, WASHINGTON, DC 20016-4136
(202) 320-8665
Mailing address
5101 WISCONSIN AVE NW STE 100, WASHINGTON, DC 20016-4136
(202) 320-8665

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-130
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ND 612
WASHINGTON STATE
WA
01
ND-130
HAWAII
HI
01
NP0015
ND LICENSE IN DC: NP0015
DC
Enumeration date
03/25/2009
Last updated
12/13/2013
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