| NPI | 1265168587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMARITA LEWIS Family Nurse Pracitioner 707-470-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QI0500X Clinic/Center Infusion Therapy |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2023-07-06 |