| NPI | 1538486691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L LETZ President 650-924-1174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001329A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000749A) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2021-02-05 |