Individual
MS. DOLORES ZITOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSM, FNP, WCC
Contact information
Practice address
36923 COOK ST, SUITE 103, PALM DESERT, CA 92211-6073
(760) 636-1336
(760) 636-1335
Mailing address
1660 S LA REINA WAY, 3 A, PALM SPRINGS, CA 92264-8659
(760) 323-3165
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
508836
CA
363LF0000X
Family Nurse Practitioner
Primary
508836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19134
BRN NP
CA
01
—
508836
BRN CALIFORNIA RN
CA
Enumeration date
07/22/2009
Last updated
11/27/2013
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