MIRANDA STANDBERRY-WALLACE
Case Manager/Care Coordinator
Active
Individual
NPI: 1073319380
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Case Manager/Care Coordinator | 171M00000X | Yes | - |
Frequently Asked Questions
NPI 1073319380 is the National Provider Identifier for MIRANDA STANDBERRY-WALLACE, a Case Manager/Care Coordinator provider located in South Holland, IL. This NPI was enumerated on February 19, 2025.
MIRANDA STANDBERRY-WALLACE practices at 538 W SIBLEY BLVD, South Holland, IL 60473.
Quick Facts
- NPI
- 1073319380
- Type
- Individual
- Enumerated
- Feb 19, 2025
- Last Updated
- Apr 10, 2025
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