| NPI | 1063374858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA JOHNSTON Owner 530-663-8031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |