| NPI | 1114381555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VICTORIA T SALCEDO President 909-565-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21506) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |