NPI | 1760111207 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY FREDERICK STONE CEO 916-225-3144 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2022-06-09 |
Last Update Date | 2022-06-09 |