Individual
CHRISTINA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3812 ANNETTE ST, COLUMBUS, OH 43228-1408
(614) 204-0845
Mailing address
3812 ANNETTE ST, COLUMBUS, OH 43228-1408
(614) 204-0845
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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