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 |