| NPI | 1164899209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SWANSON CEO 408-710-6298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A96792) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC14998) |
| 173C00000X Reflexologist (Licence: CA AC15353) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |