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Organization
PREMIER CARE OF NORTHERN CALIFORNIA
Active
Organization
PREMIER CARE OF NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NORMA E CARRILLO (NETWORK ASSOCIATE)
(909) 971-6741
Entity
Organization
Contact information
Practice address
955 OVERLAND CT FL 2, SAN DIMAS, CA 91773-1718
(909) 971-6741
(909) 971-6791
Mailing address
955 OVERLAND CT FL 2, SAN DIMAS, CA 91773-1718
(909) 971-6741
(909) 971-6791
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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