Individual
KATURA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 VALENTINE AVE APT 309, BRONX, NY 10457-3840
(646) 319-1268
Mailing address
2000 VALENTINE AVE APT 309, BRONX, NY 10457-3840
(646) 319-1268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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