NPI | 1255964763 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA DILLON Practice Administrator 916-773-2229 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
Enumeration Date | 2020-02-13 |
Last Update Date | 2020-02-13 |