| NPI | 1821557638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA WOOD Owner/Nurse Practitioner 602-509-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |