| NPI | 1528380615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN RALLECA COO 951-281-4445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD1100X Registered Nurse Dialysis, Peritoneal (Licence: CA 163WD1100X) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |