Individual provider · Type 1 NPI

Dezirea Wilkes

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1174256168 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Call (229) 947-3843 Map

Mailing address

1173 Fords Pointe Cir
Savannah, GA 31419-8123

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist 246QM0706XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1174256168

Dezirea Wilkes's National Provider Identifier is 1174256168, issued on Jul 6, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 6, 2022.