| NPI | 1710330931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MANALO CEO 480-326-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP5299) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-11-01 |