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Organization
SLM NURSING CORP
Active
Organization
SLM NURSING CORP
Active
Other names
SLM Center for Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA MORAN PMHNP (NP AND OWNER)
(840) 252-7774
Entity
Organization
Contact information
Practice address
473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
(840) 252-7774
(840) 223-5913
Mailing address
473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
(840) 252-7774
(840) 223-5913
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
12/01/2024
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