Wanda Santos Ciulla, PHYSICIAN ASSISTANT

NPI #1417460833 in Paris, Illinois

Provider Information

NPI Number: 1417460833
Entity Type: Individual
Name: Wanda Santos Ciulla, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Nov 7, 2017
Last Updated: Nov 7, 2017

Practice Location

Address: 509 S MAIN ST
City: Paris
State: Illinois
ZIP Code: 61944-2325
Phone: (217) 465-8053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Physician Assistant	363A00000X
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine — Preventive Medicine/Occupational Environmental Medicine	2083P0500X
Physician Assistant - Medical — Medical	363AM0700X

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