Individual
JENNIFER WILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18464 SUNDERLAND RD, DETROIT, MI 48219-2846
(313) 779-0628
Mailing address
18464 SUNDERLAND RD, DETROIT, MI 48219-2846
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8058691
—
MI
Enumeration date
07/20/2017
Last updated
07/20/2017
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