| NPI | 1376905786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN MUHAMMAD Fnp, Pmhnp, & Practice Director 520-477-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AZ L20603825) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-09-17 |