Individual
CHARMELLE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 JAMES STREET, SUITE 201, SYRACUSE, NY 13206-2392
(315) 437-4500
(315) 437-1632
Mailing address
3300 JAMES STREET, SUITE 201, SYRACUSE, NY 13206-2392
(315) 437-4500
(315) 437-1632
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
283178-1
NY
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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