| NPI | 1427878537 |
|---|---|
| Doing Business As | AMIGO DOCTOR |
| Entity Type | Organization |
| Authorized Contact | ROSA MARIA MENDEZ Executive Director 801-906-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103T00000X Psychologist |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-16 |