| NPI | 1114643343 |
|---|---|
| Former Legal Business Name | MIRAME HEALTH |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GUZMAN Family Nurse Practitioner 623-980-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |