NPI | 1407471873 |
---|---|
Doing Business As | ULIVVO MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | JEREMY CRAWFORD Owner/CEO 480-809-8663 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-06-11 |
Last Update Date | 2020-06-15 |