| NPI | 1821710559 |
|---|---|
| Former Legal Business Name | SAN BERNARDO FOOT AND WOUND |
| Entity Type | Organization |
| Authorized Contact | NORRIS DONALD MORRISON Dpm 951-479-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-10-04 |