| NPI | 1144195884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SUE PIPPIN Owner/CEO 760-525-5894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |