| NPI | 1104697176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CAROLINE GREENE Medical Director 916-271-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |