GERALD WILSON

Peer Specialist

Active Individual
NPI: 1194360248

Practice Address

2940 INLAND EMPIRE BLVD
Ontario, CA 91764

Phone: (909) 458-1335

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1194360248 is the National Provider Identifier for GERALD WILSON, a Peer Specialist provider located in Ontario, CA. This NPI was enumerated on November 13, 2019.
GERALD WILSON practices at 2940 INLAND EMPIRE BLVD, Ontario, CA 91764.

Quick Facts

NPI
1194360248
Type
Individual
Enumerated
Nov 13, 2019
Last Updated
Nov 13, 2019

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