| NPI | 1023346707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LORENZO Owner 702-987-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NV PA816) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2018-02-09 |