| NPI | 1336910744 |
|---|---|
| Other Name | JOSE MACIAS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95028662) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95028662) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: CA 95028662) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95028662) | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |