Individual
MARCUS LEVON WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5800 W CHARLESTON BLVD APT 2029, LAS VEGAS, NV 89146-1296
(702) 349-8118
Mailing address
3218 E BELL RD # 2142, PHOENIX, AZ 85032-2727
(702) 349-8118
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
03/04/2026
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