| NPI | 1255681300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYORA ZUDIT Clinical Supervisor 415-437-3990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |