Individual
TAMBATHA WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6513 W CHESTNUT AVE, YAKIMA, WA 98908-1746
(509) 388-4750
Mailing address
706 N 3RD AVE, YAKIMA, WA 98902-2131
(509) 388-7561
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN60378476
WA
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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