| NPI | 1043372618 |
|---|---|
| Former Legal Business Name | RIVERBANK PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | NAOMI REYNOLDS Owner 209-869-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA RHM53859F) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-07-20 |