Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jun 9, 2022
License(s)
95146932 (CA), 95017872 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 29825 HAPPY VALLEY DR | Desert Hot Springs, CA 92241-5162 | 760-393-1427 |
| LOCATION | 81767 DOCTOR CARREON BLVD STE 100 | Indio, CA 92201-5598 | 760-347-1615 |
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