NPI | 1952948911 |
---|---|
Entity Type | Organization |
Authorized Contact | ABDUL NEGEDU BABA Sole Proprietor 520-600-3550 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-12-09 |
Last Update Date | 2019-12-09 |