Individual
LATORIOUS WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7329 MERRICK DR, BROWNSBURG, IN 46112-5616
(317) 214-0280
Mailing address
124 EAST NORTHFIELD DR, SUITE F #194, BROWNSBURG, IN 46112
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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