| NPI | 1407193501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN RODRIGUEZ Owner/Manager 909-477-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |