| NPI | 1932913944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESS MARTIN SIOZON Owner 480-320-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-07-23 |