Individual
DAIJHA WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
209 RUE SAINT LOUIS, FLORISSANT, MO 63031-5025
(314) 596-2656
Mailing address
12524 WISSANT LN, SAINT LOUIS, MO 63146-2723
(314) 258-2277
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
07/25/2024
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