| NPI | 1295273084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMFORT DANSO IMPRAIM Administrator 520-780-0852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2024-01-02 |