Jermaine Wilson
Jermaine Wilson is a Student in an Organized Health Care Education/Training Program in Riverhead, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
Riverhead, NYNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 063526 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1730824947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 2, 2022 |
| Last updated in NPPES | September 21, 2023 |
| Certification date | July 19, 2023 |
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