| NPI | 1609242791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDDIE L HAYES Owner 559-459-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA C21598) |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |