| NPI | 1558880757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A SHARRAR Physician/Owner 209-682-5228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA A93376) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2023-03-07 |