| NPI | 1508389990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE MCDANIEL MOWERY Owner 925-518-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006194A) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |