| NPI | 1366323461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ELEANOR P CAYANAN Managing Member 909-203-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-18 |