Rafael Joseph Wilson
Homemaker in Medina, OH. Individual provider (NPI-1).
NPI number1003636416
StatusActive
Last updated in NPPESOct 11, 2024
Details
- NPI
- 1003636416
- Entity type
- Individual (NPI-1)
- Name
- Rafael Joseph Wilson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2024
- Certification date
- Oct 11, 2024
- Last updated
- Oct 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
| 172A00000X | Driver | – | – |
Practice location
3149 Pine Lake DrMedina, OH 44256-9043
Phone 330-419-9184
Mailing address
3149 Pine Lake DrMedina, OH 44256-9043
Phone 330-419-9184
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Other Homemaker providers in Medina, OH
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All 70 Homemaker providers in Medina · All 2,026 providers in Medina
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