| NPI | 1588685499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L FEUTZ Practice Manager 916-733-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: G59055) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |