NPI | 1669579926 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN D LINDSAY Co Owner 707-822-7011 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G40866) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G40774) |
363L00000X Nurse Practitioner (Licence: CA 320495) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |