NPI | 1548787294 |
---|---|
Doing Business As | GREEN VALLEY FAMILY CARE |
Entity Type | Organization |
Authorized Contact | BRENDA ANN WELLS Owner 520-818-8477 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2017-08-24 |
Last Update Date | 2022-07-21 |