COLLEEN WENDTLAND

BANNING, CA
NPI1801244389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224L00000X 
Additional Taxonomies224900000X Mastectomy Fitter
225000000X Orthotic Fitter
Enumeration Date2016-05-25
Last Update Date2016-05-25
Business Address
-- COLLEEN WENDTLAND CPed, CFom
1468 PEPPER LN
BANNING, CA 92220-1469
Phone number: 909-553-0646
Mailing Address
-- COLLEEN WENDTLAND CPed, CFom
1468 PEPPER LN
BANNING, CA 92220-1469
Phone number: 909-553-0646