| NPI | 1811033368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN DEAN Manager 408-374-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G60236) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA G69134) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2010-05-20 |