NPI | 1790971851 |
---|---|
Entity Type | Organization |
Authorized Contact | RODOLFO A DAQUIOAG Practice Owner 707-426-4414 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A29896) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2007-09-21 |