| NPI | 1457762312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ANDERSON Owner 510-521-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 23284) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |