Organization
PROACTIVE NURSING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEMMA E. PORSUELO NURSE PRACTITIONER (COO)
(619) 887-2838
Entity
Organization
Contact information
Practice address
8692 WAGERS CIR, HUNTINGTON BEACH, CA 92647-5027
(619) 887-2838
Mailing address
2345 E 8TH ST STE 102, NATIONAL CITY, CA 91950-2868
(619) 887-2838
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
CA
Other
Enumeration date
11/27/2014
Last updated
11/27/2014
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