Individual
JAIME WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 ENDICOTT DR, CARENCRO, LA 70520-3637
(850) 258-3862
Mailing address
108 ENDICOTT DR, CARENCRO, LA 70520-3637
(850) 258-3862
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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