NPI | 1356625347 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA A. ALEXANDER President 550-301-4160 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA NP7572) |
Enumeration Date | 2011-10-08 |
Last Update Date | 2011-10-08 |