Individual
CAMMIE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5725 SPRAGUE ST, PHILADELPHIA, PA 19138-1721
(215) 438-3991
Mailing address
1500 MARKET ST, CENTRE SQUARE EAST, PHILADELPHIA, PA 19102-2100
(215) 985-2500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN642127
PA
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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