| NPI | 1205667623 |
|---|---|
| Doing Business As | PROFESSIONAL WOUND CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANDREA ANDERSON Medical Director 951-268-8120 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-08 |