| NPI | 1477848869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE ANN ENRIQUEZ Owner/Paramedical Examiner/Phlebo 209-846-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: CA CPT00017343) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |