Richard Nathan Wilson
NPI #1417761404 in Ceres, California
Provider Information
- NPI Number
- 1417761404
- Entity Type
- Individual
- Name
- Richard Nathan Wilson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Feb 3, 2025
- Last Updated
- Dec 23, 2025
Practice Location
- Address
- 2528 LESLIE LN
- City
- Ceres
- State
- California
- ZIP Code
- 95307-2326
- Phone
- (209) 538-7331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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