Wilkes, Staci

Wilkes, Staci is an individual health care provider with primary practice located at 760 Mountain View St , Altadena CA 91001-4925. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Wilkes, Staci can be contacted via phone (626) 798-6793.

Contact Information

Primary practice address
760 Mountain View St Altadena CA 91001-4925
Phone: (626) 798-6793
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1386123016
LBN Legal business name Wilkes, Staci
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2018
Last updated Aug 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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