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Individual

MONICA WEDGEWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-7811
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
833114
CA

Other

Enumeration date
02/25/2019
Last updated
12/27/2019
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