Individual
WENDY JOHANNA COLOCHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45604 17TH ST W, LANCASTER, CA 93534-5194
(661) 874-6347
(201) 331-5003
Mailing address
45604 17TH ST W, LANCASTER, CA 93534-5194
(661) 533-5088
(201) 331-5003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95080528
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2023086040
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029221
CA
Other
Enumeration date
12/29/2023
Last updated
04/19/2026
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