Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GABRIEL ISAAC WILSON I, ATC
Active Sole ProprietorMR. GABRIEL ISAAC WILSON I, ATC is a Athletic Trainer healthcare provider located in MARINA DEL REY, California. NPI 1376073213 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MARINA DEL REY, CA
Registration Details
- NPI Number
- 1376073213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2017 (9.175220129266 yrs)
- Last Updated
- Jun 13, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
13160 MINDANAO WAY STE 308MARINA DEL REY, CA, 902927907Browse CA providers · Browse ZIP 90292
- Phone
- 3104929355
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.