Individual
WELLAH MARIE SOMBILLA SAN BUENAVENTURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 3RD ST, ATWATER, CA 95301-3608
(209) 358-5611
Mailing address
4011 ST TROPEZ CT, MERCED, CA 95348-9539
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95013309
CA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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