| NPI | 1184071102 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CYNTHIA CADWELL Nurse Practitioner/Wellness Provide 858-775-7372  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 305674 10471)  | 
| Enumeration Date | 2016-05-19 | 
| Last Update Date | 2016-05-19 |