Individual
MRS. ANGELIA RAYCHELL WILKS-TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD CD CLS
Contact information
Practice address
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 372-5702
Mailing address
2555 N DR MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 372-8080
(414) 372-5702
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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