Individual
WANDA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 24531, WINSTON SALEM, NC 27114-4531
(662) 303-6881
Mailing address
PO BOX 24531, WINSTON SALEM, NC 27114-4531
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
90974
NC
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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