Individual
WANDA A TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 45TH ST NE, WASHINGTON, DC 20019-4614
(202) 793-4020
Mailing address
122 45TH ST NE, WASHINGTON, DC 20019-4614
(202) 793-4020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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