Individual
MR. NATHAN R WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAAR
Contact information
Practice address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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