| NPI | 1255999835 |
|---|---|
| Former Legal Business Name | ECONOMIC STIMULUS ACT STUDENT LOAN REFUND 1200 DOLLARS |
| Entity Type | Organization |
| Authorized Contact | JACOB CORNELIUS PARKER Specialist Technologist 650-253-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QG0250X Clinic/Center Genetics | |
| 261QS1000X Clinic/Center Student Health | |
| 293D00000X Physiological Laboratory | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2020-09-30 |