| NPI | 1649811498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVEJOY ARRIESGADO Provider 602-774-4234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |