| NPI | 1023499605 |
|---|---|
| Doing Business As | SAN RAFAEL DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JOHN D. WINSTEL Chief Accounting Officer 253-733-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 550003375) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2022-02-07 |