| 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 |