| NPI | 1841364015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY M JOHNSON Credentialing 909-481-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: AZ OTC004) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-10-31 |