| NPI | 1740457845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA I FROMLAK Owner 916-781-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A92829) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2023-07-17 |