| NPI | 1336238542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVONA R. LAUDENSLAYER Office Manager 925-706-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G30854) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-02-13 |