NPI | 1659892123 |
---|---|
Doing Business As | PRIMARY CARE AND WALK-IN CLINIC |
Entity Type | Organization |
Authorized Contact | RONNIE M VALLE Provider 714-856-4414 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 2406) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2022-07-21 |