| NPI | 1275726689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJE DON HOOKSTRA Business Manager 928-758-3961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 585713) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2008-07-30 |