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Organization
LEGACY MOBILE PRIMARY CARE, A NURSING P.C.
Active
Organization
LEGACY MOBILE PRIMARY CARE, A NURSING P.C.
Active
Other names
Legacy Mobile Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM ETIENNE DNP, FNP-BC (PRESIDENT/CEO)
(347) 628-0147
Entity
Organization
Contact information
Practice address
666 EDGEWATER BLVD APT 101, FOSTER CITY, CA 94404-2849
(347) 628-0147
Mailing address
2108 N ST # 16501, SACRAMENTO, CA 95816-5712
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/13/2026
Last updated
08/14/2026
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