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 |