Individual
JEAN WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 DOTY RD, FERRIDAY, LA 71334-4053
(318) 757-8594
(318) 757-6855
Mailing address
PO BOX 881, 171 DOTY ROAD, FERRIDAY, LA 71334-0881
(318) 757-8594
(318) 757-6855
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1459071
LA
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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