| NPI | 1760924187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ANTHONY VAN LIER RIBBINK President 602-329-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 18860) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |