| NPI | 1740302728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY PAM DICKERSON School Nurse 480-982-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AZ LP000032965) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |