NPI | 1477537140 |
---|---|
Entity Type | Organization |
Authorized Contact | LORNA MAUREEN NYBERG Family Nurse Practitioner 909-466-5974 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 11125) |
Enumeration Date | 2005-12-05 |
Last Update Date | 2020-08-22 |