| NPI | 1356222020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA FERNANDEZ Student In An Organized Health Care 805-921-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |