NPI | 1518143049 |
---|---|
Entity Type | Organization |
Authorized Contact | ZENJA JOWAANA WATKINS Owner 916-683-6555 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A605960) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A60596) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2010-01-21 |