Senovia Wicks

NPI #1003298795 in Saint Louis, Michigan

Provider Information

NPI Number: 1003298795
Entity Type: Individual
Name: Senovia Wicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 18, 2015
Last Updated: Jun 18, 2015

Practice Location

Address: 102 SURREY RD
City: Saint Louis
State: Michigan
ZIP Code: 48880-9449
Phone: (989) 763-7896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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