| NPI | 1952452419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GARLAND STROUP Owner 916-344-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA C22524) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |