Individual
GERRELL WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10220 POTTINGER RD, CINCINNATI, OH 45251-1116
(513) 372-4756
Mailing address
10220 POTTINGER RD, CINCINNATI, OH 45251-1116
(513) 372-4756
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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