| NPI | 1932377934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY LEIGH WILSON Office Manager 916-983-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA DC28846) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |