| NPI | 1962549113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE E WOODSON Owner 928-266-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ RN32589) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-10-24 |