NPI | 1013589142 |
---|---|
Entity Type | Organization |
Authorized Contact | VALANDO STERLING Owner/Director 702-515-9680 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 261QA1903X Clinic/Center Ambulatory Surgical |
261QP3300X Clinic/Center Pain | |
Enumeration Date | 2021-07-16 |
Last Update Date | 2021-07-16 |