| NPI | 1194048884 |
|---|---|
| Doing Business As | GENESIS CLINICA DE LA MUJER |
| Entity Type | Organization |
| Authorized Contact | ROSA ELENA HEREDIA President 408-258-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G81814) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G75190) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP9507) | |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2011-11-14 |