Organization
ICARE PRACTITIONERS AND NURSING CONCIERGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RERHIME RERI UKU DNP (PMHNP-BC)
(909) 701-8649
Entity
Organization
Contact information
Practice address
9655 MONTE VISTA AVE STE 402A, MONTCLAIR, CA 91763-2238
(909) 701-8649
Mailing address
9655 MONTE VISTA AVE STE 402A, MONTCLAIR, CA 91763-2238
(909) 701-8649
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/31/2022
Last updated
05/23/2024
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