| NPI | 1891169249 |
|---|---|
| Doing Business As | SASN MANUEL INDIAN HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | BILL THOMSEN Chief Operations Officer 909-864-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA 240000751) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |