STACI WILKES

ALTADENA, CA
NPI1386123016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2018-08-13
Last Update Date2023-08-24
Business Address
STACI WILKES
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number: 626-798-6793
Mailing Address
STACI WILKES
760 MOUNTAIN VIEW ST
ALTADENA, CA 91001-4925
Phone number: 626-798-6793
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