| NPI | 1255881843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAMB Clerical Supervisor/Avatar Liaison 916-441-3819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |