Individual
SHARDA RENEE WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 MOYE BLVD, GREENVILLE, NC 27834-2885
(252) 830-2149
Mailing address
1111 TILGHMAN RD N, WILSON, NC 27893-1919
(252) 640-0827
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
83698
NC
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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