| NPI | 1710470497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KULBIR DHILLON Provider 530-713-4306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: CA 805034) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |