Individual
NICOLE WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 INDIAN ROCK DAM RD, YORK, PA 17403-5200
(717) 271-3577
Mailing address
16 BETHLEHEM LN, EPHRATA, PA 17522-9174
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007153
PA
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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