| NPI | 1770391922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAINA HELT Chief Financial Officer/Secretary 909-228-0379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |