| NPI | 1942849278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA N MEDINA Owner 760-731-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |