MEDICARE: WENDELL OWEN FINDLEY LVN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NI0013X	Independent Medical Examiner Chiropractor	18794	CA
2	164X00000X	Licensed Vocational Nurse	VN223997	CA

General Provider Information

NPI Number	:	1730377755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDELL OWEN FINDLEY LVN

Provider Business Mailing Address
First Line	:	1204 W MISSION BLVD
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91766-1344
Country	:	US
Telephone Number	:	909-623-6121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1204 W MISSION BLVD
Second Line	:
City	:	POMONA
State	:	CA
Zip	:	91766-1344
Country	:	US
Telephone Number	:	909-623-6121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	12/01/2009

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Directions to “ WENDELL OWEN FINDLEY LVN” Practice Location

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