Individual
DESTINY WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8432 MAGNOLIA AVE # 4241, RIVERSIDE, CA 92504-3206
(877) 228-3615
Mailing address
8432 MAGNOLIA AVE # 4241, RIVERSIDE, CA 92504-3206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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