Individual
SIMONE WILKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19482 ILENE ST, DETROIT, MI 48221-1448
(313) 974-4687
Mailing address
19482 ILENE ST, DETROIT, MI 48221-1448
(313) 974-4687
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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