| NPI | 1790576577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ANN SMITH COO 619-762-8902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist |
| 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community | |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-05-13 |