| NPI | 1710816814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN REYNOLDS Registered Nurse First Assist 559-790-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2026-05-15 |
| Last Update Date | 2026-08-05 |