| NPI | 1538965298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN GRACE MERIDOR President 602-814-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 126900000X Dental Laboratory Technician |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-08-30 |