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SHADELANDS ENDOVASCULAR, LLC

Adult Day Care

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
WALNUT CREEK, CA
Licensed since
2015
Rate
Federal identifiers
NPI registry number1245620954
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients439
Authorized official
NameINEZ WONDEH
TitleCOO
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