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Organization
WEST COAST WOUND CARE INC
Active
Organization
WEST COAST WOUND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG BUNKER (DIRECTOR OF OPERATIONS)
(914) 237-6797
Entity
Organization
Contact information
Practice address
19700 HESPERIAN BLVD, HAYWARD, CA 94541-4704
(914) 237-6797
Mailing address
941 MCLEAN AVE, SUITE 387, YONKERS, NY 10704-4107
(914) 237-6797
(914) 237-6790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100512081
—
NV
05
—
337306
—
AZ
Enumeration date
05/12/2006
Last updated
03/01/2017
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