| NPI | 1205649811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A HADLEY Owner 909-647-8554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-28 |