| NPI | 1215261136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN E SANTEE Practice Manager 510-547-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA FNP 32759) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |