| NPI | 1295551646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA F THOMPSON Owner 559-772-2983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2025-09-15 |