| NPI | 1316790025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAN GESLANI Program Director 909-708-9408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-05-21 |