| NPI | 1023289840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY EILEEN ROBERTS Owner/President 760-346-4262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G057257) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-07-09 |