Organization
PREMIERE CARE MANAGEMENT SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMER MABABANGLOOB GAITE RN (OWNER)
(925) 634-0566
Entity
Organization
Contact information
Practice address
5179 LONE TREE WAY STE 505, ANTIOCH, CA 94531-8689
(925) 634-0566
(925) 303-4563
Mailing address
5179 LONE TREE WAY STE 505, ANTIOCH, CA 94531-8689
(925) 634-0566
(925) 303-4563
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
11/07/2023
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