| 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 |