NPI | 1982905410 |
---|---|
Doing Business As | PREVENTIVE CARE AND WELLNESS SERVICES |
Entity Type | Organization |
Authorized Contact | RUTH A TANYI CEO 909-386-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 15272) |
Enumeration Date | 2010-11-15 |
Last Update Date | 2010-11-15 |