NPI | 1245583509 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY S NISSEN Owner 619-886-5057 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: CA A77209) |
Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy (Licence: CA 532252) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2013-04-03 |