NPI | 1568172484 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA LYNN MONTE Billing Manager 909-542-2898 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2022-12-01 |
Last Update Date | 2022-12-01 |