| NPI | 1942521406 |
|---|---|
| Former Legal Business Name | CONTINENTAL RANCH FAMILY PRACTICE PC |
| Entity Type | Organization |
| Authorized Contact | VIVIAN CASTILLO President 520-297-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2012-12-03 |