PAUL K WIELENGA

WILDOMAR, CA
NPI1235267584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  NP 10217)
Enumeration Date2007-03-01
Last Update Date2012-05-23
Business Address
Mr. PAUL K WIELENGA RN, MSN, NP
36320 INLAND VALLEY DR #308
WILDOMAR, CA 92595-7512
Phone number: 951-600-7630
Mailing Address
Mr. PAUL K WIELENGA RN, MSN, NP
PO BOX 54130
LOS ANGELES, CA 90054-0130
Phone number: 951-687-3200