| NPI | 1205636313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN FELICIA TOZAKI CEO 667-261-3085 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |