Tiombe E Wise, CHW

NPI #1033983747 in Mentone, California

Provider Information

NPI Number: 1033983747
Entity Type: Individual
Name: Tiombe E Wise, CHW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: CHW
Enumeration Date: Nov 13, 2023
Last Updated: Nov 13, 2023

Practice Location

Address: 1365 CRAFTON AVE APT 2109
City: Mentone
State: California
ZIP Code: 92359-1355
Phone: (909) 235-2924

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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