NPI | 1184022683 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN ZEPEDA Office Manager 480-596-4014 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5642) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2014-12-15 |