| NPI | 1871023432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A. STOREY Owner 559-472-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A81742) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |