Individual
EBBONY WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5121 CRESTWAY RD STE 200B, WINDCREST, TX 78239-1975
(210) 310-3864
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
332848
TX
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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