NPI | 1144500562 |
---|---|
Other Name | COMP |
Entity Type | Organization |
Authorized Contact | CALLIE A QUARELS LARSON Administrator 530-534-5135 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Enumeration Date | 2011-08-17 |
Last Update Date | 2011-08-17 |