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Organization
PRIMEHEALTH 360 INC
Active
Organization
PRIMEHEALTH 360 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA K MAW MAW MD (OWNER)
(760) 444-1422
Entity
Organization
Contact information
Practice address
79440 CORPORATE CENTER DR STE 111A, LA QUINTA, CA 92253-7243
(760) 444-1422
Mailing address
79440 CORPORATE CENTER DR STE 111A, LA QUINTA, CA 92253-7243
(760) 444-1422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/13/2019
Last updated
09/28/2020
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