Individual
WENDY MARIE LEVANWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C., P.E.S.
Contact information
Practice address
11355 MOUNTAIN VIEW DR, APT 12, RANCHO CUCAMONGA, CA 91730-7221
(949) 278-9684
Mailing address
11355 MOUNTAIN VIEW DR, APT 12, RANCHO CUCAMONGA, CA 91730-7221
(949) 278-9684
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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