Individual
LAKESHIA ANNMARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4492 REDMAN AVE APT S, OMAHA, NE 68111-1474
(402) 452-9131
Mailing address
4492 REDMAN AVE APT S, OMAHA, NE 68111-1474
(402) 452-9131
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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