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Organization
PHOENIX HEALTH & WELLNESS NURSING CORP
Active
Organization
PHOENIX HEALTH & WELLNESS NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SIMON (OWNER)
(442) 353-0488
Entity
Organization
Contact information
Practice address
73845 VAN GOGH DR, PALM DESERT, CA 92211-4523
(442) 353-0488
Mailing address
PO BOX 1144, RANCHO MIRAGE, CA 92270-1144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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