| NPI | 1063790459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY WILLIAMS Principal 916-566-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-24 |