Jykedrin Dantrel Wilson

NPI #1548932858 in Mount Pleasant, Tennessee

Provider Information

NPI Number: 1548932858
Entity Type: Individual
Name: Jykedrin Dantrel Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 5, 2021
Last Updated: Oct 5, 2021

Practice Location

Address: 303 BRYSON AVE
City: Mount Pleasant
State: Tennessee
ZIP Code: 38474-1308
Phone: (313) 878-5288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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