Organization
MOUNTAIN OAK HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSIE MARTINEZ ORNUM NURSE PRACTITIONER (DIRECTOR)
(209) 890-8660
Entity
Organization
Contact information
Practice address
556 MOUNTAIN RANCH ROAD, SAN ANDREAS, CA 95249-0536
(209) 498-2014
(209) 498-2143
Mailing address
PO BOX 536, SAN ANDREAS, CA 95249-0536
(209) 498-2014
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
12/13/2010
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