| NPI | 1093570665 |
|---|---|
| Doing Business As | BLUE LOTUS |
| Entity Type | Organization |
| Authorized Contact | JONI MCATEE Physician President 707-733-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-08-20 |