| NPI | 1316497399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVANAH BONILLA Gme Coordinator 408-885-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |