San Jose Integrated Clinic LLC
NPI #1386287753 in San Luis, Arizona
Provider Information
- NPI Number
- 1386287753
- Entity Type
- Organization
- Organization Name
- San Jose Integrated Clinic LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Oct 17, 2019
- Last Updated
- Oct 17, 2019
Practice Location
Authorized Official
- Name
- CLARISSE VANESSA NGUEHANANA, FNP
- Title
- CEO
- Phone
- (928) 722-6098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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