NPI | 1245690809 |
---|---|
Entity Type | Organization |
Authorized Contact | JODY AGINS Sole Member 602-867-1302 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ ap2311) |
Enumeration Date | 2016-02-24 |
Last Update Date | 2016-02-24 |