| NPI | 1356802128 |
|---|---|
| Doing Business As | MIC CA |
| Entity Type | Organization |
| Authorized Contact | JETHRO TREES RITTER President 805-305-5296 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-12-15 |