Individual
LESLEY WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 WILSON ST, SUITE 118, PARKIN, AR 72373-9117
(870) 636-5662
Mailing address
PO BOX 437, PARKIN, AR 72373-0437
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
AR
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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