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ROBERTA MASHEL WILKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
109 SOUTHHAMPTON PLACE, WAXAHACHIE, TX 75165
(903) 253-4630
Mailing address
109 SOUTHHAMPTON PLACE, WAXAHACHIE, TX 75165
(903) 253-4630

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
147634
TX

Other

Enumeration date
04/24/2020
Last updated
04/24/2020
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