Individual
CHRISTIAN LLOYD WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
22675 ANOKA RD, APPLE VALLEY, CA 92308
(760) 247-7930
Mailing address
22675 ANOKA RD, APPLE VALLEY, CA 92308-5436
(760) 247-6370
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
05/14/2018
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