SAN BERNARDINO DEPARTMENT OF PUBLIC HEALTH
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1477537140- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 340 N. MT. VIEW AVE., SAN BERNARDINO, CA, 924150001
- Phone
- (909) 387-6224
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: CA #11125