NPI | 1245884048 |
---|---|
Entity Type | Organization |
Authorized Contact | EMANIE E DORIVAL Nurse Practitioner 925-222-9572 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207R00000X Internal Medicine |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2019-07-30 |
Last Update Date | 2019-09-26 |