| NPI | 1811021470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINA M. FRIAS Office Manager 559-438-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A44090) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A45484) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |