| NPI | 1447448378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLETTE J CASTILLO Billing Supervisor 209-524-4438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA a454810) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2022-06-07 |