| NPI | 1770964009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA CARDENAS-JACINTO President 520-252-5452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: DC SA0124) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |