NPI | 1891244513 |
---|---|
Entity Type | Organization |
Authorized Contact | NATALIE MICHELLE SLOAN Nurse Practitioner Owner 760-321-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004817) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2024-09-23 |