| NPI | 1316569759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMECK JOHN NYAKWEBA Chief Executive Officer 602-430-9646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |