Individual
WAYNI DESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12906 GREEN CEDAR, HELOTES, TX 78023-4173
(830) 357-0908
Mailing address
PO BOX 1578, HELOTES, TX 78023-1578
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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