| NPI | 1417841800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERLA E PUEBLA Owner 602-471-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-06-09 |