NPI | 1063694479 |
---|---|
Entity Type | Organization |
Authorized Contact | KAY VIERRA Interim Director 909-869-2760 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CA 306630) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2007-11-28 |