Individual
MS. JENNIFER L WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1301 E MOUNTAIN VIEW RD, 244, PHOENIX, AZ 85020-2269
(602) 361-5907
Mailing address
1301 EAST MOUNTAIN VIEW RD, 244, PHOENIX, AZ 85020
(602) 361-5907
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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