| NPI | 1295570620 |
|---|---|
| Former Legal Business Name | WESTON MEDICAL |
| Entity Type | Organization |
| Authorized Contact | WAYLAN W KRUSE Owner 951-335-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |