| NPI | 1841983491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JOANN HERMOSILLO Family Nurse Practitioner 480-299-3761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-05-31 |