| NPI | 1538610548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH NOVELLINO Executive Director 951-774-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004835) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |