| NPI | 1720368764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUIDO DULAY ABELLERA President 209-467-6825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CA a338570) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-11-04 |