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NPI 1023800562

IndividualActive

Burshonda Wilson

NPI 1023800562 · Driver · Warren, MI

Provider details

NPI number: 1023800562
Entity type: Individual
Primary specialty: DriverOther Service Providers
Sex: Female
Sole proprietor: Yes
License: OQLQ56 (MI)

Practice location

13217 Frazho Rd

Warren, MI 48089-1302

Phone: (313) 977-7544

More MI providers

Mailing address

13217 Frazho Rd

Warren, MI 48089-1302

Registry dates

Enumerated: 2025-05-20
Last updated: 2025-05-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Burshonda Wilson — NPI 1023800562, Warren, MI | NPI Central