| NPI | 1649038910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LORRAINE HUNN Administrative Manager 602-377-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |