| NPI | 1497589220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA JAZMIN DAVILA PEREZ Nurse Practitioner 602-361-1209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |