| NPI | 1992279368 |
|---|---|
| Professional Name | WILSON NUQUI DE LEON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.005076) |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |