Individual
ANNIE LAURYL WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 MERIDIAN STREET, HUNTSVILLE, AL 35811
(256) 714-4581
Mailing address
375 CLARK HOLLOW RD, NEW HOPE, AL 35760-9345
(256) 714-4581
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
05/17/2019
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