| NPI | 1922419860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA L SHAND Manager 530-342-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA 51596) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |