| NPI | 1942969712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MICHELLE AARON Licensed Practical Nurse 480-202-2505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2021-12-09 |