Individual
LEYRA TERESA PELICANO-GOERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGPCNP-BC, RN
Contact information
Practice address
72780 COUNTRY CLUB DR, SUITE 100, RANCHO MIRAGE, CA 92270-4126
(760) 773-9750
(760) 773-9294
Mailing address
72780 COUNTRY CLUB DR, SUITE 100, RANCHO MIRAGE, CA 92270-4126
(760) 773-9750
(760) 773-9294
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2004045
CA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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