Individual
DANIEL ROY WILCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 CARONDELET DR, RICHLAND, WA 99354-3300
(509) 943-9104
Mailing address
1011 COMSTOCK ST, RICHLAND, WA 99352-4523
(541) 519-7820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61300153
WA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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