NPI | 1174279301 |
---|---|
Doing Business As | FAMILY CARE CENTER |
Entity Type | Organization |
Authorized Contact | KENDRA S GARDNER Owner 760-443-4616 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-02-25 |
Last Update Date | 2022-05-23 |