| 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 |