Search › California › 103G00000X
John Wicks
NPI 1710150685 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2128 V St
Sacramento, CA 95818 - Phone
- (916) 456-1876
- Fax
- (916) 736-2006
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California