| NPI | 1659622371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINERVA MINNIE MIJANGOS Administrative Program Coordinator 559-276-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CA 100082AN) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |