| NPI | 1669063798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREEZY MENDOZA Owner 480-257-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |