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Dezirea Wilkes
Student in an Organized Health Care Education/Training Program in Jacksonville, Florida
NPI 1174256168

Dezirea Wilkes is a Student in an Organized Health Care Education/Training Program based in Savannah, FL. Dezirea Wilkes practices in Jacksonville, FL. The NPI Number for Dezirea Wilkes is 1174256168 and holds a License No. (Florida).

The current practice location address for Dezirea Wilkes is 4500 San Pablo Rd S, Jacksonville, FL and can be reached out via phone at 229-947-3843.

Location: 4500 San Pablo Rd S, Jacksonville, FL, 31419-8123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174256168
Provider Name
Dezirea Wilkes
Credential
Provider Entity Type
Individual
Gender
Female
Address
4500 San Pablo Rd S, Jacksonville, FL, 31419-8123
Phone Number
229-947-3843
Fax Number
Provider Enumeration Date
07/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 San Pablo Rd S
City
Jacksonville
State
Florida
Zip
32224-1865
Phone Number
229-947-3843
Fax Number
person
Provider Business Mailing Address Details
Address
4500 San Pablo Rd S
City
Jacksonville
State
Florida
Zip
32224-1865
Phone Number
229-947-3843
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
246QM0706X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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