Individual
SANDRA WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30852 MIDTOWN CT, WESLEY CHAPEL, FL 33545-1333
(352) 410-9061
Mailing address
30852 MIDTOWN CT, WESLEY CHAPEL, FL 33545-1333
(315) 804-0103
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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