NPI | 1669218244 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT REBUGIO Manager/Nurse Practitioner 210-605-3399 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2024-07-03 |
Last Update Date | 2024-07-03 |