NPI | 1992815302 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM REYNOLDS NESBITT Sole Proprietor, Owner 530-889-8884 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CA G037298) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-01-28 |