| NPI | 1912318593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY HAAR CEO 209-383-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-07-02 |