ELAINE WICKHAM

LAKELAND, FL
NPI1699010637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5199622)
Enumeration Date2012-12-03
Last Update Date2012-12-03
Business Address
-- ELAINE WICKHAM
1835 GILMORE AVE
LAKELAND, FL 33805-3017
Phone number: 863-519-0575
Mailing Address
-- ELAINE WICKHAM
PO BOX 1559
BARTOW, FL 33831-1559
Phone number:
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