Provider Demographics
NPI:1225583941
Name:WILKINS, RAYONA (RN)
Entity type:Individual
Prefix:
First Name:RAYONA
Middle Name:
Last Name:WILKINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17434 BELLFLOWER BLVD STE 116
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6851
Mailing Address - Country:US
Mailing Address - Phone:562-620-3084
Mailing Address - Fax:562-620-3087
Practice Address - Street 1:17434 BELLFLOWER BLVD STE 116
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-6851
Practice Address - Country:US
Practice Address - Phone:562-620-3084
Practice Address - Fax:562-620-3087
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95285449163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95285449OtherCALIFORNIA BOARD OF REGISTERED NURSING