Individual
JAMES WILSON JR.
Active
Individual
JAMES WILSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
101
AR
3747P1801X
Personal Care Attendant
Primary
32903
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121812732
—
AR
Enumeration date
12/26/2006
Last updated
12/27/2024
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