NPI | 1114415759 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANDRA M. PASAMONTE CEO/ Owner 530-891-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA E4327) |
Enumeration Date | 2018-04-30 |
Last Update Date | 2024-06-18 |