| 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 |