| NPI | 1386201770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MACKNET Managing Member 909-645-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| 163WP1700X Registered Nurse, Perinatal | |
| 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility | |
| 163WX0002X Registered Nurse, Obstetric, High-Risk | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |