| NPI | 1609328905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEJON WOODS Nurse Practitioner 916-747-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA CANP 21303) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2023-08-17 |