NPI | 1356660302 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY NELSON DUNAYE President 916-801-6988 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA11993) |
Enumeration Date | 2010-05-28 |
Last Update Date | 2010-05-28 |