| NPI | 1386301703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIKANDRA TANK Owner 559-499-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2021-11-19 |