NPI | 1124717798 |
---|---|
Entity Type | Organization |
Authorized Contact | DEVON CASIDA RN P/Owner 559-294-4794 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-05-01 |