Individual
HEATHER LEANN WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
680 E STANFORD ST, BARTOW, FL 33830-4853
(423) 463-8875
Mailing address
680 E STANFORD ST, BARTOW, FL 33830-4853
(423) 463-8875
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
378
FL
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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