| NPI | 1487742979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY JOE GUZMAN President 909-613-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A72290) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2012-10-25 |