| NPI | 1639383201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA M ESPINOZA Meidicaid Services Specialist 480-839-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: AZ RN097616) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |