Individual
MS. LAKEIA WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA/CPT/EKG/CNA
Contact information
Practice address
17327 HARBESON RD, MILTON, DE 19968-2832
(302) 390-8065
Mailing address
2021 RIDLEY ST, PHILADELPHIA, PA 19138-3104
(302) 390-8065
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2017603348
DE
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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