Individual
WANDA IWELISSE GARCIA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 WEST ST APT 8, WORCESTER, MA 01609-2340
(954) 451-7736
Mailing address
27 WEST ST APT 8, WORCESTER, MA 01609-2340
(954) 451-7736
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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