| NPI | 1548008469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MICHELLE ROCHA CEO 661-762-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |