| NPI | 1356037691 |
|---|---|
| Doing Business As | HEALED AND EMPOWERED |
| Entity Type | Organization |
| Authorized Contact | BRIANNA RENEE CARDENAS CEO 909-375-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |