Individual
MARVIN GENE WRENCH
Active
Individual
MARVIN GENE WRENCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
1230
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205247657
SEMINOLE FL HOME OFFICE
NC
Enumeration date
01/05/2016
Last updated
01/05/2016
Update your record
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