HEATHER WILDER

AMERICUS, GA
NPI1245922376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN102679)
Enumeration Date2023-05-25
Last Update Date2023-05-25
Business Address
HEATHER WILDER
415 N JACKSON ST # 1348
AMERICUS, GA 31709-3015
Phone number: 229-815-5454
Mailing Address
HEATHER WILDER
415 N JACKSON ST
AMERICUS, GA 31709-3015
Phone number: 229-815-5454