Provider Demographics
NPI:1942074125
Name:COTTON-CURTIS, WYCONDA (MPH, LVN, DOULA)
Entity Type:Individual
Prefix:
First Name:WYCONDA
Middle Name:
Last Name:COTTON-CURTIS
Suffix:
Gender:F
Credentials:MPH, LVN, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11486 BRUSSELS AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-7303
Mailing Address - Country:US
Mailing Address - Phone:818-282-0041
Mailing Address - Fax:
Practice Address - Street 1:11486 BRUSSELS AVE
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-7303
Practice Address - Country:US
Practice Address - Phone:818-282-0041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula