| 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 |