NPI | 1225851371 |
---|---|
Doing Business As | VP FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | POLINA VOLODARSKAYA CEO 916-947-0967 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2024-11-06 |
Last Update Date | 2024-11-06 |