| NPI | 1427793371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTE PURSLOW Credentialing COO Rdinator 209-349-8459 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-13 |