| NPI | 1942737176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CAMMON Billing Manager 530-273-8452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A80293) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A106592) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA NPF20585) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |