NPI | 1518260645 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIAN JOY REMINGTON Medical Director 623-933-5991 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP-0056) |
Enumeration Date | 2010-12-11 |
Last Update Date | 2015-12-21 |