| NPI | 1790088219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANN KINCAID Part Owner/ Manger 619-717-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: CA 18150) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |