| NPI | 1639351547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE LINETTE BENNETT Office Manager 480-947-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 22649) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-10 |