| NPI | 1407188675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA LOPEZ Administrative Assistant For Creden 209-385-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 24876) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-02-12 |