| NPI | 1114686045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATALIA VIETOR Owner 602-717-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice |
| 163WS0121X Registered Nurse, Plastic Surgery | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |