LASHANA JONETTE WILDER

CHARLESTON, SC
NPI1396927125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  1253)
Enumeration Date2007-12-04
Last Update Date2021-06-28
Business Address
Ms. LASHANA JONETTE WILDER P.A.
319 FOLLY RD
CHARLESTON, SC 29412-2518
Phone number: 843-203-2246
Mailing Address
Ms. LASHANA JONETTE WILDER P.A.
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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