SearchOhio101YA0400X

Jamal Wilson

NPI 1972112217 · on the registry since 2020 · sole proprietor

Practice

Address
5408 Harbourwatch Way Apt 303
Mason, OH 45040
Phone
(248) 755-5301

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
225700000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio