| NPI | 1649142282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JAMIE Owner 909-654-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |