Individual
WESLEY FULGENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2010 ZONAL AVE, LOS ANGELES, CA 90033-1026
(323) 226-6380
Mailing address
2010 ZONAL AVE, LOS ANGELES, CA 90033-1026
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
810421
CA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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