Individual
MS. COURTNEY NICHOLE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1439 WESTON WOODS BLVD, ORLANDO, FL 32818-5756
(407) 758-0144
Mailing address
1439 WESTON WOODS BLVD, ORLANDO, FL 32818-5756
(407) 758-0144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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