Individual
MR. JACOB TROY WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
21 LEVERETT ST, FREDONIA, NY 14063-1724
(716) 485-3095
Mailing address
21 LEVERETT ST, FREDONIA, NY 14063-1724
(716) 485-3095
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
22616417
NY
Other
Enumeration date
10/04/2010
Last updated
08/17/2022
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