NPI | 1275647737 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNELL MAE SERDA Manager 916-789-1798 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 029336) |
Enumeration Date | 2006-08-19 |
Last Update Date | 2008-09-17 |