| NPI | 1811255508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LEBRIJA HERNANDEZ Owner 520-297-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4460) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2013-05-09 |