Individual
DEBORAH WILK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4974 N FRESNO ST, 386, FRESNO, CA 93726-0317
(559) 224-7724
(559) 224-7724
Mailing address
4974 N FRESNO ST, 386, FRESNO, CA 93726-0317
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
285151
CA
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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