| NPI | 1124422787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MARIE HOFFMAN Owner/President 707-542-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A102147) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2020-10-19 |