Provider Information for 1639572969
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Ms. ERMA J. WARDLEY LCSW
Sex: Female
NPI: 1639572969
Last Updated: 2014-10-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1639572969 | ||||||||
| Enumeration Date | 2014-10-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | P. O. BOX 1565 REHAB ABILITIES RANCHO CUCAMONGA, CA 91729 United States Phone: 800-642-5031 | Fax:909-989-7633 | ||||||||
| Primary Practice Address | 150 MUIR ROAD (BUILDING AB-6) US DEPARTMENT OF VETERANS AFFAIRS NORTHERN CALIFORNIA HEALTH CARE SYSTEM (CONTRAC MARTINEZ, CA 94553 United States Phone: 925-372-2451 | Fax:925-372-2017 | ||||||||
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