Individual
CLEA ROSE WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 540-6500
(805) 540-6501
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 540-6500
(805) 540-6501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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