Individual
TERIYELLE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4942 MADISON AVE, LINCOLN, NE 68504-2644
(402) 612-7423
Mailing address
4942 MADISON AVE, LINCOLN, NE 68504-2644
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
H14206774
NE
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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