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Lakenya Wilson
NPI 1568124915 · on the registry since 2021
Practice
- Address
- 112 Nautical Cv
Hercules, CA 94547 - Phone
- (510) 672-4955
Additional practice sites
- 112 Nautical Cv, Hercules, CA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California