| NPI | 1659886398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHANA STEWARD Nurse Practitioner/ Owner 602-576-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AZ AP10728) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |