NPI | 1770858441 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCIA FELCE Credentialing Manager 949-282-1671 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 579745) |
Enumeration Date | 2012-03-14 |
Last Update Date | 2012-03-14 |