| 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 Psychiatric/Mental Health |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-10-04 |