| NPI | 1841210309 |
|---|---|
| Doing Business As | LADEA WOMEN'S HEALTH |
| Entity Type | Organization |
| Authorized Contact | SHAWN A TASSONE President 520-544-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |