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 |