Individual
WANDA LOU GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 857-3180
Mailing address
250 S GRAND AVE, GLENDORA, CA 91741-4218
(626) 857-3180
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN334605
CA
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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