| NPI | 1194735811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE PETERSON President 707-422-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A76492) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-07-18 |