Daniel Lavelle Wilson

NPI 1144550518 - Counselor - 101YA0400X

NPI Details
NPI 1144550518
Gender Male
Enumeration Date 01/07/2010
Last Updated 06/10/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
3870 ROSIN CT
STE 130
SACRAMENTO CA, 95834-1620, US
Phone (916) 363-1553
Fax
Business Location
3780 ROSIN CT
STE 110
SACRAMENTO CA, 95834-1646, US
Phone (916) 441-0226
Fax (916) 421-1188
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Daniel Lavelle Wilson NPI is 1144550518, taxonomy code is 101YA0400X Daniel Lavelle Wilson physically located at 3870 Rosin Ct, Sacramento CA, 95834-1620. NPI Number Daniel Lavelle Wilson has the Individual type.

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1144550518 NPI number is provided on an as is basis without warranty of any kind. 1144550518 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Lavelle Wilson are for informational purposes only.