Individual
DR. DEVIN GRAHAM WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
78900 AVENUE 47, STE 102, LA QUINTA, CA 92253-2070
(760) 600-5325
Mailing address
78900 AVENUE 47, STE 102, LA QUINTA, CA 92253-2070
(760) 600-5325
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
3004
OR
175F00000X
Naturopath
ND759
CA
Other
Enumeration date
09/30/2015
Last updated
10/20/2015
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