| NPI | 1093009482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN DUGGINS Owner 408-656-9049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 257522-4568) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant, Surgical | |
| 208600000X Surgery | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2014-04-02 |