Individual
MAILEY WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 DOUGLAS RD, WICKLIFFE, OH 44092-1002
(614) 499-1973
(440) 354-1845
Mailing address
1540 DOUGLAS ROAD, WICKLIFFE, OH 44092
(614) 499-1973
(440) 354-1845
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.16484-NP
OH
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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