NPI | 1861033953 |
---|---|
Doing Business As | SANDERLING DIALYSIS OF WATSONVILLE |
Entity Type | Organization |
Authorized Contact | JEROME TANNENNBAUM CEO 615-988-7881 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
Enumeration Date | 2019-10-01 |
Last Update Date | 2021-02-16 |