| NPI | 1750564043 |
|---|---|
| Doing Business As | AWESOME BLESSINGS MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | THAN AYE AW Owner 559-905-9087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A53206) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: CA A53206) |
| 261QP3300X Clinic/Center, Pain (Licence: CA A53206) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2009-04-01 |