HERMAN RICHARD WANSHIYA

WINSTON SALEM, NC
NPI1346968229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2022-08-17
Last Update Date2022-08-17
Business Address
HERMAN RICHARD WANSHIYA
1940 DAISY ST
WINSTON SALEM, NC 27107-4304
Phone number: 336-529-3893
Mailing Address
HERMAN RICHARD WANSHIYA
1940 DAISY ST
WINSTON SALEM, NC 27107-4304
Phone number: 336-529-3898