| NPI | 1487911608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE NIELSEN Owner 408-395-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: CA 22103) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |