Individual
MR. JERMAINE WILKINS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 COAL PL SE APT 3, ALBUQUERQUE, NM 87106-4455
(505) 377-9384
Mailing address
1710 COAL PL SE APT 3, ALBUQUERQUE, NM 87106-4455
(505) 377-9384
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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