Individual
WYVETTE DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 STEPHENS ST, MARTINSVILLE, VA 24112-4100
(276) 806-5791
(276) 336-4930
Mailing address
1122 STEPHENS ST, MARTINSVILLE, VA 24112-4100
(276) 806-5791
(276) 336-4930
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
30015085250001
VA
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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