| NPI | 1659060960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AURELIO EDWARD SADANG Sole Proprietor/Owner 415-690-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-07-30 |