NPI | 1104706456 |
---|---|
Doing Business As | RANCHO PRIMARY CARE CLINIC |
Entity Type | Organization |
Authorized Contact | LOVELLA CANTOS DELOS SANTOS Family Nurse Practitioner 951-315-2646 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-09-05 |
Last Update Date | 2025-09-05 |