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 5 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.

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.