| NPI | 1639406010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA OBISPO Co Owner 209-743-0546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA a81970) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 451612) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |