| NPI | 1578219820 |
|---|---|
| Doing Business As | PROFERA WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MEGAN L BERMUDEZ Medical Director 623-414-7625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |