NPI | 1649589383 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTANY LEE GOSS President 707-252-1035 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA 20A11329) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2014-12-29 |