N/A

TEMECULA, CA
NPI1801163118
Entity TypeOrganization
Authorized ContactJHERMIE BUSTAMANTE SALAS
RN
951-970-2856
Organization Subpart ?No
Primary Taxonomy163W00000X Registered Nurse
Enumeration Date2011-11-30
Last Update Date2011-11-30
Business Address
N/A
29078 PROVIDENCE RD
TEMECULA, CA 92591-5597
Phone number: 951-970-2856
Mailing Address
N/A
29078 PROVIDENCE RD
TEMECULA, CA 92591-5597
Phone number: