| 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 |