NPI | 1104310853 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE DENISE WILLIAMS Nurse Practitioner / President 310-736-0489 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care (Licence: CA 731716) |
Enumeration Date | 2018-06-17 |
Last Update Date | 2024-11-10 |