Individual
GLORIA A VINES-WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1636 FISKE BLVD, ROCKLEDGE, FL 32955-2535
(321) 634-6047
(321) 634-6527
Mailing address
1636 FISKE BLVD, ROCKLEDGE, FL 32955-2535
(321) 634-6047
(321) 634-6527
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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