| NPI | 1689635724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN JEANNE MCCLURE Family Nurse Practitioner 707-986-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA C148295) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |