NPI | 1063260073 |
---|---|
Entity Type | Organization |
Authorized Contact | JAZMEEN INGUITO Owner/Authorized Official 626-347-8548 |
Organization Subpart ? | No |
Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2024-05-07 |
Last Update Date | 2024-05-07 |