NPI | 1609449719 |
---|---|
Former Name | WANDA GAIL SYLVESTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2021-07-19 |
Last Update Date | 2021-08-10 |