Healthstat On-site Clinic/jackson Rancheria Casino

NPI 1093053688 - Preventive Medicine - 2083P0500X

NPI Details
NPI 1093053688
Enumeration Date 01/17/2013
Last Updated 01/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WARREN WARREN
Position COO
Phone (209) 223-8428
Fax
Practice Location
12222 NEW YORK RANCH RD
JACKSON CA, 95642-9407, US
Phone (209) 223-8428
Fax
Business Location
4651 CHARLOTTE PARK DR
SUITE 300
CHARLOTTE NC, 28217-1956, US
Phone
Fax
Toxanomy
Taxonomy Code 2083P0500X
License State
License Number
Remove 1093053688 NPI Number
 

According to our database, Healthstat On-site Clinic/jackson Rancheria Casino NPI is 1093053688, taxonomy code is 2083P0500X Healthstat On-site Clinic/jackson Rancheria Casino physically located at 12222 New York Ranch Rd, Jackson CA, 95642-9407. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1093053688 NPI number is provided on an as is basis without warranty of any kind. 1093053688 is maintained by the National Plan & Provider Enumeration System. The contents of Healthstat On-site Clinic/jackson Rancheria Casino are for informational purposes only.