| NPI | 1740945906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNI VONICE WILLIAMS Rendering Provider/Founder 530-949-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2023-04-02 |