| NPI | 1992160329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN RODRIGUEZ Owner 928-318-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN075667) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2016-03-09 |