| NPI | 1063671386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE CLAIRE FISCELLA Medical Doctor 510-843-0692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: CA G42958) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |