| NPI | 1609594431 |
|---|---|
| Doing Business As | GRASSROOTS DPC |
| Entity Type | Organization |
| Authorized Contact | JERRY CLINE Founder 707-992-5809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |