SHANE WURDEMAN, CP

Prosthetist

Active Individual
NPI: 1497911572

Practice Address

11301 WILSHIRE BLVD
BLDG 304
Los Angeles, CA 90073

Phone: (310) 478-3711

Specialties

Specialty Code Primary License
Prosthetist 224P00000X Yes CP003610 (CA)

Frequently Asked Questions

NPI 1497911572 is the National Provider Identifier for SHANE WURDEMAN, CP, a Prosthetist provider located in Los Angeles, CA. This NPI was enumerated on July 29, 2008.
SHANE WURDEMAN, CP practices at 11301 WILSHIRE BLVD, BLDG 304, Los Angeles, CA 90073.

Quick Facts

NPI
1497911572
Type
Individual
Enumerated
Jul 29, 2008
Last Updated
Jul 29, 2008

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