NPI | 1720757032 |
---|---|
Doing Business As | LIFESPANN PRIMARY CARE & ESTHETICS |
Entity Type | Organization |
Authorized Contact | JENNIFER VALENCIA SPANN Owner/Manager 480-351-7151 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2021-09-09 |
Last Update Date | 2022-07-06 |