| NPI | 1447864830 |
|---|---|
| Former Legal Business Name | PREVENCARE HEALTH SERVICES, LLC |
| Doing Business As | PREVENCARE HEALTH SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | ERICK LEE Owner 858-449-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |