Individual provider · Type 1 NPI
Dominick Wise
Driver · Moraine, OH
NPI number
1730896481
Active
Practice location
5023 Wright Way
Moraine, OH 45439-7418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1730896481
Dominick Wise's National Provider Identifier is 1730896481, issued on Nov 2, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Moraine, OH. The record was last updated on Nov 2, 2022.