| NPI | 1629612544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE THOMPSON RN Fa 530-966-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |