| NPI | 1386061364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L STALLINGS Office Administrator 909-886-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 0821290) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |