| NPI | 1265046395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED WILLIAMS Owner 559-372-7390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-12-03 |