Individual
BRITTANY WANZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2295 S VINEYARD AVE, ONTARIO, CA 91761-7925
(651) 964-5712
Mailing address
2295 S VINEYARD AVE, ONTARIO, CA 91761-7925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56138
CA
Other
Enumeration date
02/16/2018
Last updated
09/08/2024
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