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Individual

DR. WOLLELAW W AGMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
8263 GROVE AVE STE 201, RANCHO CUCAMONGA, CA 91730-3107
(909) 579-0708
(909) 579-0778
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
A182144
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A182144
CA

Other

Enumeration date
06/19/2014
Last updated
05/06/2024
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