| NPI | 1821989708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE L BOONE Managing Member 310-919-9560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 2086S0129X | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |