Individual
MR. WILBURT GERALD VANDERBURG II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10802 COLLEGE PL, CERRITOS, CA 90703-1579
(562) 924-9581
Mailing address
3551 FLORISTA ST STE 1D, LOS ALAMITOS, CA 90720-2488
(562) 572-5962
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
495971
CA
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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