| NPI | 1205241452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA MICHELLE YANEZ Perfusionist 520-907-5367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 242T00000X Perfusionist (Licence: CA D02481240) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |