Individual
WANDA NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 W HURON ST STE 107, PONTIAC, MI 48341-1601
(248) 857-7432
Mailing address
PO BOX 430150, PONTIAC, MI 48343-0150
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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