Individual
CATHERINE ENNIS-DOLENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 S TUSTIN ST, ORANGE, CA 92866-3425
(714) 633-6373
Mailing address
51 GINGHAM ST, TRABUCO CANYON, CA 92679-5320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6413
CA
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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