| 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 |