| NPI | 1699926378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEMMA E. PORSUELO President 619-887-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 15158) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-01 |