Individual
MIKAL D WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3207 E 65TH AVE, SPOKANE, WA 99223-7226
(509) 981-9370
Mailing address
3207 E 65TH AVE, SPOKANE, WA 99223-7226
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
60923419
WA
Other
Enumeration date
12/27/2021
Last updated
12/27/2021
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