RIKELLE WUSSOW

SANTA MONICA, CA
NPI1174307557
Former NameRIKELLE SHOLD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95026825)
Enumeration Date2023-08-24
Last Update Date2023-08-24
Business Address
RIKELLE WUSSOW NP
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404-2303
Phone number: 608-438-7119
Mailing Address
RIKELLE WUSSOW NP
519 CALIFORNIA AVE APT 203
SANTA MONICA, CA 90403-3944
Phone number: 608-438-7119