Rafael Joseph Wilson
Rafael Joseph Wilson is a Driver in Medina, Ohio. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3149 Pine Lake DrMedina, OH 44256-9043
Phone: (330) 419-9184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|---|
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1003636416 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2024 |
| Last updated in NPPES | October 11, 2024 |
| Certification date | October 11, 2024 |
| Mailing address | 3149 Pine Lake Dr, Medina, OH 44256-9043 |
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