Premiere Care Management Specialists LLC
NPI #1508486374 in Antioch, California
Provider Information
- NPI Number
- 1508486374
- Entity Type
- Organization
- Organization Name
- Premiere Care Management Specialists LLC
- Primary Specialty
- Nurse Practitioner - Primary Care
- Enumeration Date
- Apr 22, 2020
- Last Updated
- Nov 7, 2023
Practice Location
- Address
- 5179 LONE TREE WAY STE 505
- City
- Antioch
- State
- California
- ZIP Code
- 94531-8689
- Phone
- (925) 634-0566
Authorized Official
- Name
- EMER MABABANGLOOB GAITE, RN
- Title
- OWNER
- Phone
- (925) 634-0566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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