Provider Demographics
NPI:1568857274
Name:NURTURING YOU WOMEN'S HEALTH & WELLNESS, INC.
Entity Type:Organization
Organization Name:NURTURING YOU WOMEN'S HEALTH & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEITA
Authorized Official - Middle Name:JACQUELINE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-241-8829
Mailing Address - Street 1:1810 FULLERTON AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-3103
Mailing Address - Country:US
Mailing Address - Phone:888-475-3129
Mailing Address - Fax:
Practice Address - Street 1:1810 FULLERTON AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-3103
Practice Address - Country:US
Practice Address - Phone:888-475-3129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-30
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG064281261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty