NPI | 1124124250 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA MARIE LEWIS Business Owner 530-477-9100 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA 20A7088) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2020-08-22 |