TRACI MICHELLE WILKES

SHREVEPORT, LA
NPI1518128263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: LA  830122)
Enumeration Date2008-06-24
Last Update Date2008-06-24
Business Address
Ms. TRACI MICHELLE WILKES
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
Ms. TRACI MICHELLE WILKES
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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