| NPI | 1720630197 |
|---|---|
| Other Name | JIM STALIANS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95010123) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: CA 452145) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95010123) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |