| NPI | 1346958204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY TAN RAMOS Ap RN Owner 661-345-9964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2025-06-25 |