Individual
BONNIE WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 HOWE AVE, BUILDING 400B, SACRAMENTO, CA 95825-4731
(916) 441-0123
Mailing address
401 12TH ST, MARYSVILLE, CA 95901-4805
(530) 315-9037
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/28/2015
Last updated
04/11/2017
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