NPI | 1801614086 |
---|---|
Doing Business As | MADIX CLINIC |
Entity Type | Organization |
Authorized Contact | KATI WIJDENES Sole Owner 480-418-0184 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-09-27 |
Last Update Date | 2025-02-18 |