| NPI | 1255815858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BALDWIN SYELLU MSOWOYA Co Owner Family Nurse Practitioner 602-741-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2024-09-16 |