| NPI | 1255132817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE BLANKENSHIP Assistant Director 530-552-3877 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-07-08 |