Individual
WYNDELL D. ALATIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1566 WISHING STAR DR, CHULA VISTA, CA 91915-1823
(619) 888-0927
Mailing address
1566 WISHING STAR DR, CHULA VISTA, CA 91915-1823
(619) 888-0927
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
575116
CA
163WN0002X
Neonatal Intensive Care Registered Nurse
575116
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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