Individual
MRS. WANDA TERRELL MOORE- WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MB&C, CNA,MOA
Contact information
Practice address
5612 S WABASH AVE # APTY5, CHICAGO, IL 60637-1155
(312) 481-3779
Mailing address
5612 S WABASH AVE APT 5, CHICAGO, IL 60637-1155
(312) 481-3779
Taxonomy
Speciality
Code
Description
License number
State
247000000X
Health Information Technician
Primary
—
IL
Other
Enumeration date
07/22/2021
Last updated
11/19/2023
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