| NPI | 1023833258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELINA JASMINE SILVA Owner 415-379-0701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |