NPI | 1841851201 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY LEE BASSO Owner 530-758-1810 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
Enumeration Date | 2019-06-26 |
Last Update Date | 2023-05-17 |