| NPI | 1194734764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE ROSE BUSA Business Owner Doctor 209-723-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E3223) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-09-03 |