Individual
MRS. NICOLE FRIA WENDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
17016 PALACIO PL, SAN DIEGO, CA 92127-1456
(858) 945-8954
Mailing address
17016 PALACIO PL, SAN DIEGO, CA 92127-1456
(858) 945-8954
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
16858
CA
124Q00000X
Dental Hygienist
Primary
364
CA
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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