NPI | 1780447581 |
---|---|
Entity Type | Organization |
Authorized Contact | JUVEL-LOU VELASCO Np 520-878-8233 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-07-09 |