Individual provider · Type 1 NPI

James Raymond Wilson, DC

Chiropractor · Lodi, CA

NPI number 1417023474 Active

Practice location

2000 W Kettleman Ln, Suite 104
Lodi, CA 95242-4334

Fax (209) 334-6969

Mailing address

PO Box 986
Woodbridge, CA 95258-0986

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC30022 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1417023474

James Raymond Wilson, DC's National Provider Identifier is 1417023474, issued on Nov 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lodi, CA. The record was last updated on Oct 21, 2009.