| NPI | 1164962932 |
|---|---|
| Doing Business As | FUNCTIONAL MEDICINE SPECIALISTS NURSING PRACTITIONER SERVICES |
| Entity Type | Organization |
| Authorized Contact | CAMBRIA MARCY DEMARCO PERRY Owner 619-306-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 534073) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |