Individual
JANELLE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 483-5000
Mailing address
11 MARTIN RD, POUGHKEEPSIE, NY 12601-5611
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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