Individual
LAURI WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WYNN DRIVING SERVICE
Contact information
Practice address
28609 N PORT LN, MENIFEE, CA 92584-8169
(909) 921-3193
Mailing address
28609 N PORT LN, MENIFEE, CA 92584-8169
(909) 921-3193
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A3123559
CA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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