Individual
STACEY WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRDH
Contact information
Practice address
881 USS JAMES MADISON RD, KINGS BAY, GA 31547-2531
(407) 375-1209
Mailing address
2647 FLYCATCHER WAY, SANFORD, FL 32773-7073
(407) 375-1209
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH17278
FL
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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