Individual
MATTIE LEE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3348 BLAINE ST NE, WASHINGTON, DC 20019-1327
(202) 399-2966
Mailing address
908 FINCH DR, LANDOVER, MD 20785-4667
(240) 398-0749
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/27/2021
Last updated
10/20/2023
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