| NPI | 1902139884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA JANE XENOS RN 520-515-2986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: AZ RN111990) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |