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Individual

KIMBERLY PIPKIN WILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5703 SOUTH ACRES, HOUSTON, TX 77048
(832) 724-1374
Mailing address
PO BOX 84136, PEARLAND, TX 77584-0018
(832) 724-1374

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
376G00000X
Nursing Home Administrator
Primary

Other

Enumeration date
01/09/2020
Last updated
01/09/2020
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