NPI | 1134816853 |
---|---|
Doing Business As | CONSTITUTIONAL HEALTH LLC |
Entity Type | Organization |
Authorized Contact | AMANDA KEIL Fnp C 480-628-3760 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2023-04-21 |
Last Update Date | 2023-04-21 |