| NPI | 1326259276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LAVIGNA Owner 707-763-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CA 110000263) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-01-10 |