|Active||Over 9 years ago|
|11301 WILSHIRE BLVD
LOS ANGELES CA, 90073-1003, US
|1323 14TH ST
SANTA MONICA CA, 90404-1744, US
|Remove 1497911572 NPI Number|
According to our database, Shane Richard Wurdeman CP NPI is 1497911572, taxonomy code is 224P00000X and license number is CP003610, license state is located at California. Shane Richard Wurdeman CP physically located at 11301 Wilshire Blvd, Los Angeles CA, 90073-1003. NPI Number Shane Richard Wurdeman CP has the Individual type.
1497911572 NPI number is provided on an as is basis without warranty of any kind. 1497911572 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Richard Wurdeman CP are for informational purposes only.