| NPI | 1700103249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA R JACQUES President 916-788-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CA G88578) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2011-08-09 |