| NPI | 1679219679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE CHINYERE IVOKO Nurse Practiioner 951-314-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |