Wings of Refuge,inc.

NPI #1386940211 in La Puente, California

Provider Information

NPI Number
1386940211
Entity Type
Organization
Organization Name
Wings of Refuge,inc.
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Feb 10, 2011
Last Updated
Feb 10, 2011

Practice Location

Address
904 WILLOW AVE
Address 2
ROOM 2
ZIP Code
91746-1615
Phone
(310) 670-6767

Authorized Official

Name
RENEE MONCITO, PHD
Title
PRESIDENT & CEO
Phone
(310) 670-6767

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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