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Individual

AMY MICHELLE WILKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6813 JADE LN, CARLSBAD, CA 92009-1717
(858) 335-4708
Mailing address
6813 JADE LN, CARLSBAD, CA 92009-1717
(858) 335-4708

Taxonomy

Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
675894
CA

Other

Enumeration date
01/21/2025
Last updated
01/21/2025
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