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Individual

GLENDA FAITH WELLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
25400 ALESSANDRO BLVD STE 102, MORENO VALLEY, CA 92553-4319
(951) 522-4918
Mailing address
27882 DE LA VALLE DR, MORENO VALLEY, CA 92555-5917
(951) 522-4918

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
W417067
CA

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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