| NPI | 1871237040 |
|---|---|
| Doing Business As | MACT SONORA PEDIATRIC HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN SHAWVER ALEXANDER Executive Director 209-754-6258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-07-26 |