| NPI | 1598933632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMISHA DENISE GREATHOUSE Office Manager 559-224-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LX0106X Nurse Practitioner, Occupational Health | |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |