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Organization
IMANI WOUNDCARE SERVICES INC
Active
Organization
IMANI WOUNDCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA JACKSON NP (AUTHORIZED OFFICIAL)
(909) 614-3039
Entity
Organization
Contact information
Practice address
27555 YNEZ RD STE 210, TEMECULA, CA 92591-4678
(909) 614-3039
Mailing address
27555 YNEZ RD STE 210, TEMECULA, CA 92591-4678
(909) 614-3039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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