NPI | 1467220442 |
---|---|
Former Legal Business Name | BUPE MUSHILI PMHNP |
Entity Type | Organization |
Authorized Contact | BUPE C MUSHILI Owner 909-870-0160 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2023-12-19 |
Last Update Date | 2024-05-29 |