| NPI | 1275283343 |
|---|---|
| Doing Business As | PETALUMA EYE CARE |
| Entity Type | Organization |
| Authorized Contact | MOLLY JOUANEH CFO 707-559-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-08-30 |