Individual
CARLIE JEANETTE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
990 SONOMA AVE STE 20, SANTA ROSA, CA 95404-4813
(707) 525-0696
(707) 525-8404
Mailing address
990 SONOMA AVE STE 20, SANTA ROSA, CA 95404-4813
(707) 525-0696
(707) 525-8404
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19226
CA
Other
Enumeration date
06/21/2007
Last updated
12/30/2021
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