NATHAN JEROME WILSON

LONG BEACH, CA
NPI1720053572
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A5796)
Enumeration Date2006-02-22
Last Update Date2015-02-11
Business Address
Dr. NATHAN JEROME WILSON D.O.
4221 CHESTNUT AVE
LONG BEACH, CA 90807-1903
Phone number: 310-720-0758
Mailing Address
Dr. NATHAN JEROME WILSON D.O.
4221 CHESTNUT AVE
LONG BEACH, CA 90807-1903
Phone number: 310-720-0758
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