Individual
JERMAINE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2404 S LOCUST ST STE 5, LAS CRUCES, NM 88001-5789
(575) 521-4188
(575) 521-3668
Mailing address
2404 S LOCUST ST STE 5, LAS CRUCES, NM 88001-5789
(575) 521-4188
(575) 521-3668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4582
NM
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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