| Functional Medicine Specialists Nursing Practitioner Services | |
|
2210 Encinitas Blvd Ste T Encinitas CA 92024-4376 | |
| (760) 270-3990 | |
| Not Available |
| Full Name | Functional Medicine Specialists Nursing Practitioner Services |
|---|---|
| Speciality | Clinic/center |
| Location | 2210 Encinitas Blvd Ste T, Encinitas, California |
| Authorized Official Name and Position | Cambria Marcy Demarco Perry (OWNER) |
| Authorized Official Contact | 6193066949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Medicine Specialists Nursing Practitioner Services 2210 Encinitas Blvd Ste T Encinitas CA 92024-4376 Ph: (760) 270-3990 | Functional Medicine Specialists Nursing Practitioner Services 2210 Encinitas Blvd Ste T Encinitas CA 92024-4376 Ph: (760) 270-3990 |
| NPI Number | 1164962932 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164962932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 534073 (California) | Primary |
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