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 |