| NPI | 1730732710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESERIE TSOSIE Cred Spec 602-935-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |