| NPI | 1467558783 |
|---|---|
| Other Name | AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | ESTELITA D. AVERA Lvn 916-875-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA VN111149) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |