Moderm Wound Care Specialist LLC
NPI #1538043211 in San Jacinto, California
Provider Information
- NPI Number
- 1538043211
- Entity Type
- Organization
- Organization Name
- Moderm Wound Care Specialist LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Aug 4, 2025
- Last Updated
- Aug 4, 2025
Practice Location
- Address
- 2263 FINCH CIR
- City
- San Jacinto
- State
- California
- ZIP Code
- 92582-6964
- Phone
- (888) 211-1498
Authorized Official
- Name
- TAMARA PIPPIN
- Title
- OWNER
- Phone
- (888) 211-1498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| General Practice |
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