| NPI | 1417146549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JOY KENDALL Board Member/ Fnp 530-812-7367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OR 094006492N1) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2018-06-16 |