| NPI | 1083263503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA LANETTE GRAHAM Owner/Nurse Practitioner 623-322-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-09-25 |