| NPI | 1255656328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M REILLY Program Director 415-476-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |