Organization
WILKS TECHNICIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK RUDOLPH WILKS (TECHNICIAN)
(703) 763-9822
Entity
Organization
Contact information
Practice address
209 STREAMVIEW DR, FREDERICKSBURG, VA 22405-1259
(703) 763-9822
Mailing address
209 STREAMVIEW DR, FREDERICKSBURG, VA 22405-1259
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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