| NPI | 1265589808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JA'NITA MARCHELE BECERRA Registered Nurse 707-784-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: CA 545174) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |