| NPI | 1144582925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SPRAGUE Director Of Clinic Operations 530-458-5501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 021859) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-06-08 |