| NPI | 1255504791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAN C. JACOBS Sole Member 602-273-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AZ RN151239) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |