| NPI | 1912132457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIA LORENA LAMONT Owner / Administrator 520-577-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2014-05-02 |