Bertulfo-Wold, Wendell Domingo

Bertulfo-Wold, Wendell Domingo is an sole proprietor health care provider with primary practice located at 2227 Capricorn Way Ste 203 , Santa Rosa CA 95407-5490. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bertulfo-Wold, Wendell Domingo can be contacted via phone (650) 605-5582.

Contact Information

Primary practice address
2227 Capricorn Way Ste 203 Santa Rosa CA 95407-5490
Phone: (650) 605-5582
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 740874 California

Profile Details

NPI number 1598486821
LBN Legal business name Bertulfo-Wold, Wendell Domingo
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2022
Last updated Sep 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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