| NPI | 1134765381 |
|---|---|
| Doing Business As | NIDO CLINIC |
| Entity Type | Organization |
| Authorized Contact | JULIA CLAIRE EDGCOMB Bureau Chief 831-796-1386 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |