| NPI | 1508105727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS MARION JUDD Owner/Manager 602-616-1332 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AZ AP1189) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2023-03-07 |