| NPI | 1649515115 |
|---|---|
| Doing Business As | SAN JOAQUIN VALLEY DIALYSIS CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK R FAWCETT Treasurer 781-699-9000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-11 |