| 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 |