NPI | 1184222671 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMESINA JOHNS Np/CEO 760-220-7149 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-10-15 |
Last Update Date | 2020-10-15 |