| NPI | 1316218043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CHOUM Nurse Practitioner 866-255-4795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA NP6444) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: CA RN450249) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |