| NPI | 1871008318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY A DEWALD Director Of Business Services 707-525-6485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2018-10-05 |