Individual
ELIZABETH WILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 397-6943
Mailing address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 397-6943
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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