| 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 |