| NPI | 1043589393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L POSTON Tissue Bank Director 626-432-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 702360) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 391696) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |