| NPI | 1871898700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN SHORT Nurse Practitioner, Owner 831-206-0921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP60192028) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-26 |