Individual
DEZIREA WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(229) 947-3843
Mailing address
1173 FORDS POINTE CIR, SAVANNAH, GA 31419-8123
(229) 947-3843
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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