Gerald Lee Wilson
Gerald Lee Wilson is a Peer Specialist in Ontario, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2940 Inland Empire BlvdOntario, CA 91764-4898
Phone: (909) 458-1335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1194360248 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 13, 2019 |
| Last updated in NPPES | November 13, 2019 |
| Mailing address | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 |
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