Individual
SOLOMON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 206-3095
Mailing address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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