| NPI | 1679562151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CLEVENGER Financial Insurance Coordinator 916-440-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 207LP2900X) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-08-22 |