PEDIATRIC SUBSPECIALTY FACULTY

ORANGE, CA
NPI1952614398
Entity TypeOrganization
Authorized ContactDIANE NUGENT
Medical Director Of Hematology
714-532-8649
Organization Subpart ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date2010-07-14
Last Update Date2010-07-14
Business Address
PEDIATRIC SUBSPECIALTY FACULTY
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-532-8649
Mailing Address
PEDIATRIC SUBSPECIALTY FACULTY
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: