NPI 1730938135

Simone Wilks

Practitioner Private Vehicle Detroit, MI

Practice location

Address: 19482 Ilene St, Detroit, MI 48221-1448
Phone: (313) 974-4687

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1730938135
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2024
Record last updated: 16 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.