| NPI | 1629785936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA GUARDIOLA Fnp 830-421-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-11-05 |