Organization
WORLD GYM OF PALM DESERT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA MATRANGA (OWNER)
(760) 774-5880
Entity
Organization
Contact information
Practice address
41651 CORPORATE WAY, SUITE 1, PALM DESERT, CA 92260-1987
(760) 774-5880
Mailing address
41651 CORPORATE WAY, SUITE 1, PALM DESERT, CA 92260-1987
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
10/11/2017
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