NPI | 1003162801 |
---|---|
Other Name | AMBULATORY INFUSION CENTER |
Entity Type | Organization |
Authorized Contact | JASON STUTZMAN Nurse Practitioner 559-321-6211 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: CA 21511) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA 21511) |
Enumeration Date | 2012-07-30 |
Last Update Date | 2012-08-09 |