| NPI | 1093104838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE EMILY FRYMAN Physician Assistant 925-997-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-05516) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |