Dmarqui Wilson
Driver in Clayton, NC. Individual provider (NPI-1).
NPI number1801550355
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1801550355
- Entity type
- Individual (NPI-1)
- Name
- Dmarqui Wilson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 29, 2021
- Certification date
- Oct 29, 2021
- Last updated
- Oct 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | – | Yes |
Practice location
171 Cecina CtClayton, NC 27527-9564
Phone 434-429-6508
Mailing address
171 Cecina CtClayton, NC 27527-9564
Phone 434-429-6508
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