NPI | 1790010171 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND MICHAEL STENT President 805-754-1425 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: CA A22472) |
Enumeration Date | 2009-10-02 |
Last Update Date | 2009-10-02 |