Most Relevant Information
Provider Data
| NPI Number: | 1003660192 |
| Provider Name: | LEVI COLTON WILSON |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/15/2024 |
| Last Updated: | 04/15/2024 |
Provider Practice Location
2316 17TH ST APT J
PORTSMOUTH
OH
456623258
Practice Location Phone/Fax
| Phone: | 7405298631 |
| Fax: |
Provider Mailing Location
2316 17TH ST APT K
PORTSMOUTH
OH
456623258
Provider Mailing Phone/Fax
| Phone: | 7405298631 |
| Fax: |