| NPI | 1508946831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL MAUREEN MALLARD WARREN Owner 559-432-5697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G42804) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-10-09 |