| NPI | 1942420138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE GARRETT Clinic Director 619-718-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 106470) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2008-07-17 |