| NPI | 1225653074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN CAGAMPAN BUENAVENTURA Owner/ Nurse Practitioner 480-620-8839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |