| NPI | 1467904425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GERARD NEGRETE Acute Care Nurse Practitioner 916-812-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: CA 95005322) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |