person
Mr. James R Wilkes JR., ATC
Student in an Organized Health Care Education/Training Program in State College, Pennsylvania
NPI 1104201037

James R Wilkes JR. is a Student in an Organized Health Care Education/Training Program based in State College, PA. James R Wilkes JR. practices in State College, PA and has the professional credentials of ATC. The NPI Number for James R Wilkes JR. is 1104201037 and holds a License No. RT005744 (Pennsylvania).

The current practice location address for James R Wilkes JR. is 1518 N Allen St, State College, PA and can be reached out via phone at 215-512-0017.

Location: 1518 N Allen St, State College, PA, 16803-3013
person
Provider Profile Details
NPI Number
1104201037
Provider Name
James R Wilkes JR.
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
1518 N Allen St, State College, PA, 16803-3013
Phone Number
215-512-0017
Fax Number
Provider Enumeration Date
07/21/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1518 N Allen St
City
State
Zip
16803-3013
Phone Number
215-512-0017
Fax Number
person
Provider Business Mailing Address Details
Address
1518 N Allen St
City
State
Zip
16803-3013
Phone Number
215-512-0017
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
RT005744 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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