| NPI | 1285422527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH KIBUH CEO/President 408-614-9504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QH0100X Clinic/Center Health Service | |
| 261QI0500X Clinic/Center Infusion Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-08-27 |