| NPI | 1992405203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SUSANA SULLIVAN Owner 480-248-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-07-25 |