| NPI | 1407868870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENE VIDOLA MISSION MARTINEZ Sole Proprietor 510-818-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A-29347) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |