| NPI | 1780814343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON WASHBURN Owner 209-204-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CA PA 15880) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |