Individual
NATAYA WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 INDIAN LAKE TRL, CARROLLTON, TX 75007-6258
(214) 674-0820
Mailing address
1306 INDIAN LAKE TRL, CARROLLTON, TX 75007-6258
(214) 674-0820
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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