| NPI | 1760996730 |
|---|---|
| Doing Business As | PTL PEDIATRIC NURSING REGISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT CLARK President 530-891-0657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |