Individual
JENNIFER CAROL WAMSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
17499 BUCKTHORN AVE, HESPERIA, CA 92345-6957
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
25891
CA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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