Organization
HEMET PAIN MANAGEMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXIS CICERO (CREDENTIALING COORDINATOR)
(951) 699-0303
Entity
Organization
Contact information
Practice address
162 N SANTA FE ST, HEMET, CA 92543-4451
(951) 506-9522
(951) 925-5905
Mailing address
PO BOX 893520, TEMECULA, CA 92589-3520
(951) 699-0303
(951) 296-3531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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