Individual
DR. CHRISTIAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4051 E MAIN ST STE A, VENTURA, CA 93003-8280
(805) 650-8406
Mailing address
4051 E MAIN ST STE A, VENTURA, CA 93003-8280
(805) 650-8406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10444T
CA
Other
Enumeration date
06/14/2011
Last updated
06/14/2011
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