NPI | 1326583030 |
---|---|
Other Name | PEDIATRIC MEDICAL CENTER OF SACRAMENTO |
Entity Type | Organization |
Authorized Contact | PERLA-INEZ R MAULINO Medical Director 916-681-1130 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95005332) |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-04 |