| NPI | 1144974395 |
|---|---|
| Doing Business As | WADDELL FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | KANDY LIZZETH MEDINA PEREZ Owner/Provider 623-512-8308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2024-08-21 |