| NPI | 1811727795 |
|---|---|
| Doing Business As | EVERGREEN FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SOPHIA MOHAMMAD Physician 408-905-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-08-05 |