| NPI | 1194484600 |
|---|---|
| Former Legal Business Name | COVID ANTIBODY TREATMENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | GRETCHEN MELBURG Chief Financial Officer 530-768-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-12-12 |
| Last Update Date | 2023-02-16 |