NPI | 1134305188 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA J HERRERA Practice Manager 530-672-1311 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A83780) |
Enumeration Date | 2008-01-20 |
Last Update Date | 2011-02-04 |