Miss. Chondra Jemise Wilson, COSMETOLOGIST
Miss. Chondra Jemise Wilson, COSMETOLOGIST is a Prosthetics Case Management in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and Nebraska.
- Licensed in
- NC, NE
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
1696 Lomond St Ste 201Winston Salem, NC 27127-2741
Phone: (757) 289-2020
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (NC) |
|---|---|
| Prosthetics Case Management | Taxonomy 1744P3200X (NE) |
Record details
| NPI number | 1184232126 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | COSMETOLOGIST |
| Sole proprietor | Yes |
| NPI enumerated | July 15, 2020 |
| Last updated in NPPES | January 1, 2024 |
| Certification date | April 20, 2021 |
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