| NPI | 1568095503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB CORNELIUS PARKER Specialist Technologist 650-253-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 332100000X Department of Veterans Affairs (VA) Pharmacy | |
| 251B00000X Case Management | |
| 347D00000X Train | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2023-11-27 |