PHILLIP WILSON

EUREKA, CA
NPI1457667172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-08-19
Last Update Date2011-01-11
Business Address
PHILLIP WILSON
2413 2ND ST
EUREKA, CA 95501-0811
Phone number: 707-269-9590
Mailing Address
PHILLIP WILSON
5016 VALLEY EAST BLVD APT C
ARCATA, CA 95521-7418
Phone number: