NPI | 1346837945 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN DOUGLAS MARTIN Manager 951-312-9646 |
Organization Subpart ? | No |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-12-29 |
Last Update Date | 2020-12-29 |