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Cancer Survivorship Care Nursing Corporation

Nurse Practitioner in Indio, CA. Organization (NPI-2).

NPI number1174302038
StatusActive
Last updated in NPPESSep 28, 2023

Details

NPI
1174302038
Entity type
Organization (NPI-2)
Legal business name
Cancer Survivorship Care Nursing Corporation
Organization subpart
No
Enumeration date
Sep 28, 2023
Certification date
Sep 28, 2023
Last updated
Sep 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner––Yes

Practice location

80296 Royal Dornoch Dr
Indio, CA 92201-2786

Phone 786-227-8744

Mailing address

80296 Royal Dornoch Dr
Indio, CA 92201-2786

Phone 786-227-8744

Authorized official

Janet Diaz
NP
7862278744

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