| NPI | 1417622374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DUNCAN Director 916-431-3716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 261QM1000X Clinic/Center, Migrant Health |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |