| NPI | 1982337689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GREEN Owner 559-308-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163WI0600X Registered Nurse, Infection Control |
| 163WW0000X Registered Nurse, Wound Care | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-12-07 |