Most Relevant Information
Provider Data
| NPI Number: | 1003448622 |
| Provider Name: | ERICA WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/11/2020 |
| Last Updated: | 02/11/2020 |
Provider Practice Location
9890 COUNTY FARM RD STE 3
RIVERSIDE
CA
925033678
Practice Location Phone/Fax
| Phone: | 9515098320 |
| Fax: |
Provider Mailing Location
9890 COUNTY FARM RD STE 3
RIVERSIDE
CA
925033678
Provider Mailing Phone/Fax
| Phone: | 9515098320 |
| Fax: |