SENIOR DOC WISCONSIN SC

ORANGE, CA
NPI1932954260
Entity TypeOrganization
Authorized ContactANGELICA CONTACT
Credentialing
855-434-7763
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-04-19
Last Update Date2024-10-11
Business Address
SENIOR DOC WISCONSIN SC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763
Mailing Address
SENIOR DOC WISCONSIN SC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763
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