WILDINE BURGESS

PHOENIX, AZ
NPI1326709718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
172A00000X Driver
225C00000X Rehabilitation Counselor
251B00000X Case Management
373H00000X Day Training/Habilitation Specialist
385H00000X Respite Care
Enumeration Date2022-01-06
Last Update Date2024-02-12
Business Address
WILDINE BURGESS
3930 E RAY RD STE 120
PHOENIX, AZ 85044-7172
Phone number: 240-350-2863
Mailing Address
WILDINE BURGESS
PO BOX 51382
PHOENIX, AZ 85076-1382
Phone number: 240-350-2863