Individual
JEANNINE ALEXANDER WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12288 GRANADA WAY, WOODBRIDGE, VA 22192-6234
(571) 288-2762
Mailing address
12288 GRANADA WAY, WOODBRIDGE, VA 22192-6234
(571) 288-2762
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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