Individual
SHENDONA COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
763 S MAIN ST STE 100-101, ORANGE, CA 92868-4610
(714) 206-4130
Mailing address
3100 PARK AVE APT 2304, TUSTIN, CA 92782-3706
(714) 206-4130
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KK400655
CA
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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