person
Ms. Marqeita Wilds, COSMETOLOGLYLICENSE
Prosthetics Case Management in Columbia, South Carolina
NPI 1427765429

Marqeita Wilds is a Prosthetics Case Management based in Columbia, SC and is specialized in Prosthetics Case Management. Marqeita Wilds practices in Columbia, SC and has the professional credentials of COSMETOLOGLYLICENSE. The NPI Number for Marqeita Wilds is 1427765429 and holds a License No. RC56060 (South Carolina).

The current practice location address for Marqeita Wilds is 108 Columbia Northeast Dr, Columbia, SC and can be reached out via phone at 803-629-1186.

Location: 108 Columbia Northeast Dr, Columbia, SC, 29224-3581
person
Provider Profile Details
NPI Number
1427765429
Provider Name
Marqeita Wilds
Credential
COSMETOLOGLYLICENSE
Provider Entity Type
Individual
Gender
Female
Address
108 Columbia Northeast Dr, Columbia, SC, 29224-3581
Phone Number
803-629-1186
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 Columbia Northeast Dr
City
State
Zip
29223-6433
Phone Number
803-629-1186
Fax Number
person
Provider Business Mailing Address Details
Address
108 Columbia Northeast Dr
City
State
Zip
29223-6433
Phone Number
803-629-1186
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
RC56060 (South Carolina)
Definition
Definition to come...
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