-- LAURA ELISE HIDAY --
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1033496351- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- CHILDRENS ASSESSMENT CTR 700 E GILBERT ST, SAN BERNARDINO, CA, 924150001
- Phone
- (909) 382-3535
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: CA #21348