NPI | 1366659054 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL TWEEDELL Deputy Director 951-358-5222 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP16928) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |