Organization
ALPHA WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELSEY DE VERA (CEO)
(909) 855-7643
Entity
Organization
Contact information
Practice address
1420 E COOLEY DR STE 200F, COLTON, CA 92324-3951
(909) 855-7643
Mailing address
1420 E COOLEY DR STE 200F, COLTON, CA 92324-3951
(909) 215-0045
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/17/2025
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