| NPI | 1306240619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINDY PAGUIO SALES President 818-441-8418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2022-07-21 |