ILLUMINATE MEDICAL INC

CORONA, CA
NPI1043075112
Entity TypeOrganization
Authorized ContactDORIS COUNCIL
CEO
409-356-9778
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-02-19
Last Update Date2024-02-19
Business Address
ILLUMINATE MEDICAL INC
7891 SLATE CREEK RD
CORONA, CA 92880-8544
Phone number: 409-356-9778
Mailing Address
ILLUMINATE MEDICAL INC
7891 SLATE CREEK RD
CORONA, CA 92880-8544
Phone number: 409-356-9778
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