| NPI | 1003669623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL NICOLE STEPHENS C RN A 925-980-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |