Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2013-03-22
- Last updated
- 2014-03-31
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 812 NIBLICK RD
- City
- PASO ROBLES CA
- Postal code
- 934464858
- Phone
- 805-781-4753
Organization contact
- Name
- STARLENE GRABER
- Title
- Division Manager
- Phone
- 8057814753
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.