NPI | 1407449374 |
---|---|
Doing Business As | GERONTOLOGI |
Entity Type | Organization |
Authorized Contact | SUMMER BROWN President 949-432-6463 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-02-11 |
Last Update Date | 2021-10-04 |