Individual
MRS. PATRICIA WILSON STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCES
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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