NPI | 1265733018 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHI ALVARADO Receptionist 520-751-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN036763) |
Enumeration Date | 2010-11-10 |
Last Update Date | 2011-05-06 |