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Individual

WENDY JO LEVIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10646 SCIENCE CENTER DR, CB10, SAN DIEGO, CA 92121-1150
(858) 622-8019
(877) 481-5208
Mailing address
PO BOX 8470, RANCHO SANTA FE, CA 92067-8470
(858) 756-7976
(877) 481-5208

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A72488
CA
207RH0003X
Hematology & Oncology Physician
MD00039665
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
280200
INTERNAL ID-MOTOR VEHICLE ID
05
8424319
WA
Enumeration date
10/13/2006
Last updated
10/31/2008
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