Individual
ULANDA D WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPRS SUPERVISOR
Contact information
Practice address
868 JAMES AVE, SAINT PAUL, MN 55102-3331
(702) 690-1345
(702) 690-1345
Mailing address
868 JAMES AVE, SAINT PAUL, MN 55102-3331
(702) 690-1345
(702) 690-1345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8150
MN
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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