Individual
ADRIAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3208 WARD RD, RALEIGH, NC 27604-1526
(919) 561-2064
Mailing address
3208 WARD RD, RALEIGH, NC 27604-1526
(919) 561-2064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21313
NC
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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