NPI | 1922458439 |
---|---|
Doing Business As | AWAKENMD |
Entity Type | Organization |
Authorized Contact | SEAN E BOURKE Founder And Medical Director 650-274-6256 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2016-06-15 |
Last Update Date | 2016-06-15 |