| NPI | 1649038910 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | AMY LORRAINE HUNN President 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 | 2024-11-18 |