| NPI | 1942090097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET E AIYETIWA CEO 909-989-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-09-17 |