| NPI | 1780393223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE DUMLAO CAMANO Nurse Practitioner/President 858-722-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2023-01-11 |