| NPI | 1174846778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO C MELENDEZ Owner 480-294-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN118176) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |