Individual
MS. WENDY WILTERMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
3 GULF VIEW ACRES, RUSHVILLE, IL 62681
(319) 338-0581
Mailing address
7136 ACHESON ROAD, BUSHVILLE, IL 62681
(217) 719-0853
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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