| NPI | 1396556973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE ROSALES Lvn Supervisor 510-418-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |