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43875 Washington St Suite #c Palm Desert CA 92211-8249 | |
(951) 539-8984 | |
Not Available |
Full Name | |
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Speciality | Nurse Practitioner - Gerontology |
Location | 43875 Washington St, Palm Desert, California |
Authorized Official Name and Position | Martha N Mozia (CEO) |
Authorized Official Contact | 31053955722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1611 Crenshaw Blvd Suite 224 Torrance CA 90501-3123 Ph: (310) 539-5722 | 43875 Washington St Suite #c Palm Desert CA 92211-8249 Ph: (951) 539-8984 |
NPI Number | 1235294893 |
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Provider Enumeration Date | 12/26/2006 |
Last Update Date | 12/19/2016 |
Identifier | Type | State | Issuer |
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1235294893 | NPI | - | NPPES |
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