| NPI | 1750738613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RELYNDO MANALO SALCEDO CEO/President 909-587-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21547) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |