NPI | 1063085678 |
---|---|
Entity Type | Organization |
Authorized Contact | TRICIA LYN WESTHOFF-PANKRATZ President/Owner 805-667-3909 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2021-07-21 |
Last Update Date | 2021-07-21 |