SHANE RICHARD WURDEMAN

LOS ANGELES, CA
NPI1497911572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: CA  CP003610)
Enumeration Date2008-07-29
Last Update Date2008-07-29
Business Address
-- SHANE RICHARD WURDEMAN CP
11301 WILSHIRE BLVD BLDG 304
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
Mailing Address
-- SHANE RICHARD WURDEMAN CP
1323 14TH ST APT. E
SANTA MONICA, CA 90404-1744
Phone number: 310-478-3711
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