| NPI | 1497880504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE LAMOINE SIDES Operations Manager 602-494-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 26487) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-03-31 |