NPI | 1154474989 |
---|---|
Entity Type | Organization |
Authorized Contact | OFELIA LOPEZ WILLIAMS President 760-342-4242 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP950) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-09-05 |