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Organization

EXTENSIVE HEALTHCARE PROVIDERS A NURSING PROFESSIONAL CORPORATION

Active
Other names
Extensive Healthcare Providers
Organization subpart
No

Provider details

NPI number
Authorized official
MAE PET FETHERLIN (CEO & PRESIDENT)
(619) 395-8558
Entity
Organization

Contact information

Practice address
1634 PLANTATION WAY, EL CAJON, CA 92019-3603
(619) 395-8558
Mailing address
1634 PLANTATION WAY, EL CAJON, CA 92019-3603

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
01/10/2026
Last updated
01/10/2026
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