Individual
WANDA FORD WESSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3111 WELBORN ST APT 1204, DALLAS, TX 75219-5015
(806) 535-0593
Mailing address
3111 WELBORN ST APT 1204, DALLAS, TX 75219-5015
(806) 535-0593
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
7599
TX
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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