| NPI | 1285485920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUNEDIN HERVIAS Founder 623-225-5875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-06-20 |