Individual
MS. PATRICIA ANN WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD
Contact information
Practice address
5503 GRAND MESA DR, DURHAM, NC 27713-6640
(252) 641-7783
Mailing address
5503 GRAND MESA DR, DURHAM, NC 27713-6640
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
947707
—
133V00000X
Registered Dietitian
L001045
NC
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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