| NPI | 1275937021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYCIA BECHARD Owner 530-227-7468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OR C3290) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |