Individual
TARA JO WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 E CAMPBELL PARK DR, HUNTINGTON, WV 25705-3057
(681) 378-8388
Mailing address
1408 E CAMPBELL PARK DR, HUNTINGTON, WV 25705-3057
(681) 378-8388
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26993
WV
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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