Individual
WILLIE BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(610) 834-1122
(610) 834-7525
Mailing address
8144 HOPEWELL RD, BESSEMER, AL 35022-4905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-023566
AL
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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