NPI | 1134433055 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY T PINKERNELL Sole Owner 805-684-3128 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: CA G3337) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2010-08-03 |