| NPI | 1104772862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE COMIA VILLANUEVA Owner 408-823-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-03-19 |