| NPI | 1477244861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENZI MCCALISTER Owner 916-398-4894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2025-03-25 |