| NPI | 1689922981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WONG Medical Student 916-762-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |