| NPI | 1912239203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE A WALTON Owner 559-435-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 3268536) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-06-18 |