| NPI | 1053790618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGETTE M GEORGE Fnp 520-262-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3000) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |