| NPI | 1023848637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM PAYNE Chief Executive Officer 951-543-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-24 |