| NPI | 1942009139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMIENOFONA AYIYI CEO 602-570-2306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |