| NPI | 1801253463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN RYAN Nurse Practitioner Board Certified 760-668-1654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-04-06 |