Search › California › 103T00000X
Wilson Fuller
NPI 1427204031 · on the registry since 2008 · sole proprietor
Practice
- Address
- Colony Drive
San Luis Obispo, CA 93409 - Phone
- (408) 431-9190
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California