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Individual

MR. CRAIG WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, FNP

Contact information

Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 620-4410
Mailing address
3422 STEWARTON DR, RICHMOND, CA 94803-2038
(510) 620-4410

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
553148
CA
363LF0000X
Family Nurse Practitioner
Primary
14712
CA

Other

Enumeration date
07/05/2024
Last updated
07/05/2024
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