NPI | 1891155974 |
---|---|
Doing Business As | DIABETES AND ENDOCRINE CENTER |
Entity Type | Organization |
Authorized Contact | JESS JUDY VP 928-854-0094 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP8464) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
133NN1002X Nutritionist, Nutrition, Education | |
Enumeration Date | 2016-03-02 |
Last Update Date | 2016-06-25 |