NPI 1104638626

Wyvette Dillard

Practitioner Case Manager/Care Coordinator Martinsville, VA

Practice location

Address: 1122 Stephens St, Martinsville, VA 24112-4100
Phone: (276) 806-5791
Fax: (276) 336-4930

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 30015085250001 (VA)

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Registry record

NPI: 1104638626
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2025
Record last updated: 22 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.