| NPI | 1861056194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L KOCSIS Credentialing 916-622-3609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |