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 |