| NPI | 1609322577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CANADAY Adult Nurse Practitioner 310-402-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60181508) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-10-07 |