Organization
SHADELANDS ENDOVASCULAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INEZ WONDEH (COO)
(925) 378-4500
Entity
Organization
Contact information
Practice address
460 N WIGET LN STE B, WALNUT CREEK, CA 94598-2408
(925) 627-3495
(925) 891-4322
Mailing address
460 N WIGET LN STE B, WALNUT CREEK, CA 94598-2408
(925) 627-3495
(925) 891-4322
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
04/04/2018
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