| Re-enlist to Life | |
|
56711 Twentynine Palms Highway Yucca Valley CA 92248 | |
| (442) 822-9231 | |
| Not Available |
| Full Name | Re-enlist to Life |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 56711 Twentynine Palms Highway, Yucca Valley, California |
| Authorized Official Name and Position | Robert Embry (FOUNDER) |
| Authorized Official Contact | 4428229231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Re-enlist to Life 56711 Twentynine Palms Highway Yucca Valley CA 92284 | Re-enlist to Life 56711 Twentynine Palms Highway Yucca Valley CA 92248 Ph: (442) 822-9231 |
| NPI Number | 1942145727 |
|---|---|
| Provider Enumeration Date | 04/20/2026 |
| Last Update Date | 04/20/2026 |
| Certification Date | 04/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942145727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
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