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 |