| NPI | 1790175370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE MALSON Owner 480-661-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2225) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |