NPI | 1609182815 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ANNE GUYETTE Owner/Operator 559-436-5265 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 386046) |
Enumeration Date | 2010-08-25 |
Last Update Date | 2013-01-09 |