NPI | 1316387954 |
---|---|
Doing Business As | SAN LEANDRO MARINA DIALYSIS |
Entity Type | Organization |
Authorized Contact | JOHN D WINSTEL Chief Accounting Officer 253-733-4501 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: CA 550002586) |
Enumeration Date | 2013-06-27 |
Last Update Date | 2022-03-17 |