| NPI | 1518379338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE H MANCIET Owner 520-744-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 43719) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |