| NPI | 1891232484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRE ANTONIO DE MORAES President 707-255-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: CA A66851) |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2018-11-27 |