NPI | 1811684731 |
---|---|
Entity Type | Organization |
Authorized Contact | SIDONIE B NGANKEU Owner/Provider 928-256-5094 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-04-20 |
Last Update Date | 2023-04-20 |