| NPI | 1780521534 |
|---|---|
| Doing Business As | INDIO ADULT CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN CRUIKSHANK CFO 951-486-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2026-04-30 |
| Last Update Date | 2026-07-07 |