| NPI | 1972933604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE AVALOS Owner 760-731-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TX 670385) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2013-11-15 |