Organization
ABRAHAM WILSON INC
Active
Other names
Jacaranda Community Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARLENE F BRAHAM M.D. (PRESIDENT)
(760) 956-2636
Entity
Organization
Contact information
Practice address
12021 JACARANDA AVE, SUITE #100, HESPERIA, CA 92345-4978
(760) 956-2636
(760) 948-2179
Mailing address
12021 JACARANDA AVE, SUITE #100, HESPERIA, CA 92345-4978
(760) 956-2636
(760) 948-2179
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
G66379
CA
Other
Enumeration date
01/12/2016
Last updated
11/03/2017
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