NPI | 1588292072 |
---|---|
Doing Business As | 100PLUS |
Entity Type | Organization |
Authorized Contact | RYAN HOWARD CEO 415-609-7118 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-03-30 |
Last Update Date | 2020-03-30 |