| NPI | 1780417790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SAMANTHA LAYSON CEO 818-681-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-23 |