| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOSEPH DANIEL WANDZILAK | 1255067393 | 2022-07-30 |
Joseph Daniel Wandzilak is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255067393. Registration indicates Joseph Daniel Wandzilak is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Psych/Mental Health, Adult, ) (Registered Nurse Psych/Mental Health, Adult, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Mr. Joseph Daniel Wandzilak RN |
| Practice Office Address | 3853 ROSECRANS ST SAN DIEGO, CA US |
| Practice Office Telephone | 6196150439 |
| Mailing Address | 600 B ST STE 1570 SAN DIEGO, CA 921014560 US |
| Business Telephone | 6196150439 |
| Code | Practice | License No State |
|---|---|---|
| 163WP0809X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: Psych/Mental Health, Adult Registered Nurse Psych/Mental Health, Adult Nursing Service Providers Registered Nurse | 95159657
CA |