NPI | 1740625607 |
---|---|
Entity Type | Organization |
Authorized Contact | KATRINA PLATT President 909-641-6708 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 20A10988) |
Enumeration Date | 2013-05-06 |
Last Update Date | 2013-08-26 |