| NPI | 1942719513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ALLISON ERWIN Business Manager 530-638-8868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A148839) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |