| NPI | 1104637412 |
|---|---|
| Doing Business As | FORTUNA HEALTH GROUP-NURSING PRACTITIONER CORP |
| Entity Type | Organization |
| Authorized Contact | SARAH N OBIKE President 909-641-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |