| NPI | 1295243632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNESTER CULP Owner 707-862-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95002633) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2023-08-25 |