Individual
ALVINO WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3114 S 21ST ST, OMAHA, NE 68108-1804
(402) 677-0609
Mailing address
3114 S 21ST ST, OMAHA, NE 68108-1804
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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