| NPI | 1053680306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY L POSTON Tissue Bank Director 626-432-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 470207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 574386) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |