Individual
DEBORAH R. WONDOLOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
72780 COUNTRY CLUB DR, SUITE A-104, RANCHO MIRAGE, CA 92270-4126
(760) 837-8020
(760) 340-3900
Mailing address
39000 BOB HOPE DR, ELCCC 2ND FLOOR, RANCHO MIRAGE, CA 92270-3221
(760) 773-1451
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95001776
CA
Other
Enumeration date
12/03/2014
Last updated
03/19/2015
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