| NPI | 1013314046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEDRO R FEBRES-ROMAN Owner/Phycian 209-827-4747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA A29593) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2015-01-16 |