NPI | 1194055749 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN ROLAND MARTIN Phlebotomist 925-458-5124 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 246RP1900X) |
Enumeration Date | 2010-01-04 |
Last Update Date | 2010-01-04 |