| NPI | 1093536047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEYANIRA ZAMBRANO Managing Partner 916-299-0958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-12-05 |