Individual
NATHAN ANDREW WILKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 UNIVERSITY PKWY, YAKIMA, WA 98901-1471
(360) 790-4765
Mailing address
4502 E 41ST ST, TULSA, OK 74135-2536
(918) 579-2367
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
04/11/2023
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