Individual
ROBERTA WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 N LUKE ST APT 101E, LAFAYETTE, LA 70506-1903
(133) 773-9696
Mailing address
90 N LUKE ST APT 101E, LAFAYETTE, LA 70506-1903
(133) 773-9696
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
LA
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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