Most Relevant Information
Provider Data
| NPI Number: | 1003198466 |
| Provider Name: | ANASTASIA WILHELM |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | 425168 |
Most Important Dates
| Enumeration Date: | 09/12/2011 |
| Last Updated: | 09/12/2011 |
Provider Practice Location
2000 ALAMEDA DE LAS PULGAS
SAN MATEO
CA
944031269
Practice Location Phone/Fax
| Phone: | 6505732959 |
| Fax: |
Provider Mailing Location
2000 ALAMEDA DE LAS PULGAS
SAN MATEO
CA
944031269
Provider Mailing Phone/Fax
| Phone: | 6505732959 |
| Fax: |