NPI | 1609448802 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY SWANSON Manager 951-738-0968 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2021-07-15 |
Last Update Date | 2021-07-15 |