Individual
RANDALL WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 LAMIER DR, WHITE LAKE, MI 48383-2630
(248) 636-7965
Mailing address
5396 NICOLE, WHITE LAKE, MI 48383-2657
(248) 920-4988
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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