NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1215921242 |   |   |   | AVALON CARE CENTER-SAN ANDREAS LLC | 206 N 2100 W | SALT LAKE CITY | UT | 841164740 |
1902300973 | BISSANI | JACLYN | JULE |   | 141 VIA MEDICI | APTOS | CA | 950035838 |
1891256947 | MUTOPO | DEBRA |   |   | PO BOX 1569 | SAN ANDREAS | CA | 952491569 |