| NPI | 1669984662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JOAN BRACKIN President 619-840-6036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |