| NPI | 1154912962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA DUMONT Nurse Practitioner 415-250-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |