| NPI | 1861050502 |
|---|---|
| Doing Business As | RE INFUSION CENTER GRASS VALLEY |
| Entity Type | Organization |
| Authorized Contact | HANY SAMUEL BENJAMIN Owner 760-340-3248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-05-29 |