| NPI | 1205435864 |
|---|---|
| Other Name | MONTANA AFFINITY CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE BAISA MONTANA Owner 909-236-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2021-01-06 |