Individual
DOMINIC WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4417 THELMA DR, OBETZ, OH 43207-5241
(614) 625-6537
Mailing address
4417 THELMA DR, OBETZ, OH 43207-5241
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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