Individual
WENDY MARIE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11326 VAIL CUT OFF RD SE, RAINIER, WA 98576-9604
(360) 446-2270
Mailing address
11326 VAIL CUT OFF RD SE, RAINIER, WA 98576-9604
(360) 446-2270
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00056453
WA
164X00000X
Licensed Vocational Nurse
194801
TX
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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