NPI | 1790369775 |
---|---|
Doing Business As | WILLOW AZ CENTRAL |
Entity Type | Organization |
Authorized Contact | DIANE ORTEGA Co Ownrer 480-565-5944 |
Organization Subpart ? | No |
Primary Taxonomy | 261QB0400X Clinic/Center, Birthing |
Enumeration Date | 2021-05-06 |
Last Update Date | 2021-05-06 |