| NPI | 1265567127 |
|---|---|
| Other Name | THERESA CAMERON |
| Entity Type | Organization |
| Authorized Contact | LARISSA TAMBLE Fiscal Mangagement Director 530-934-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-07-22 |