NPI | 1477201556 |
---|---|
Entity Type | Organization |
Authorized Contact | KARISSA WALTON Founder & Medical Director 928-298-3349 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 175F00000X Naturopath |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2022-03-16 |
Last Update Date | 2022-03-16 |