NPI | 1669800405 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE M CASTAGNOLA Office Manager 707-255-6115 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA G76902) |
Enumeration Date | 2013-10-14 |
Last Update Date | 2013-10-14 |