NPI | 1740771435 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN C CANTON Nurse Practitioner 661-303-6888 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP23038) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP23038) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2018-06-06 |